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Change in Transportation Form (Public)

Holland Central School District

Permanent Bus Pass Information

2022-2023

  • ONLY fill out this form if your child needs to go to an alternate point (a location other than home) on a consistent regular basis.
  • ONE ALTERNATE ADDRESS is permitted; this eliminates confusion and preserves the welfare of each student.
  • We MUST receive this request on or before 8/19/2022 for changes to be in effect for the first week of school.
  • REMEMBER -  Bus pass information does NOT carry over from the last school year

Parent Signature

Address of Alternate Pickup or Drop-Off site

Approvals

A number of approval stages need to be completed before this submission can be accepted.
Transportation Change Approval
Appropriate approvers from the Transportation Change Approval group will be automatically allocated for this approval stage.