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Transportation: UPK Babysitter Request Form

THIS FORM IS ONLY FOR UNIVERSAL PRE-KINDERGARTEN (UPK) STUDENTS.

Requests for change in transportation for babysitting purposes, Day Care, and/or after school L.E.A.P. or SCOPE programs will be accommodated under the following District guidelines:

Sitter MUST be in district attendance zone.
Seats must be available on requested bus.
Requests are for a full week; no partial week will be honored.
When Brentwood Schools are closed, there will be NO TRANSPORTATION to L.E.A.P. or SCOPE.
Forms submitted after August 1st will not be processed for the start of school.

This UPK Babysitter form is for which school year? *

2023-2024

2024-2025

STUDENT INFORMATION

Student ID Number (Number) *

Child’s First Name *

Child’s Last Name *

Child's Date of birth *

Address *

Home Phone Number (Number)

Assigned School *

PARENT CONTACT INFORMATION

Parent / Guardian's Full Name *

Cell Phone Number (Number) *

Day Phone Number (Number) *

Email Address *

Preferred contact method: *

Home Phone

Cell Phone

Day Phone

BABYSITTER INFORMATION

Is this the same babysitter as last year? *

Yes

Babysitter's Full Name *

Babysitter's Address *

Babysitter's Phone Number (Number) *

Babysitter's relationship to child: *

Requested transportation change: *

1) To School only

2) From School only

3) To and From School

Please attach copy of parent/guardian's photo ID *

List of Allowed file types

Parent / Guardian Signature

Type your name and sign below

Clear Show me how

Date *

Approvals

A number of approval stages need to be completed before this submission can be accepted.

UPK Babysitter Approval

Appropriate approvers from the UPK Babysitter Approval group will be automatically allocated for this approval stage.