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Non-Public Student Transporation Form
LOVELAND SCHOOL DISTRICT
NON-PUBLIC STUDENT TRANSPORTATION FORM
Part One: Student Demographic Information
*Student First Name:  
*Student Last Name:  
*Name of School Attending:  
* Grade Level:  
*Gender:  
*Date of Birth:  
*Student Residential Address:  
*Parent Name(s):  
*Email Address:  
2nd/Alt Email Address:  
*Contact Phone #  
*2nd/Alt Contact Phone #  
Custody Notes/Alerts For Loveland?  
Request Is For:  
Other Notes/Details/Additional Info?  
Part Two: Transportation Needs
Please Indicate Below Your Needs Regarding Transportation For Your Child
Pickup Details (If Applicable)
Pickup Location:  
Relationship To Child (If Applicable):  
Effective Date:  
Address:  
Zipcode:  
Phone #     
Dropoff Details (If Applicable)
Dropoff Location:  
Relationship To Child (If Applicable):  
Effective Date:  
Address:  
Zipcode:  
Phone #     
BUSSING INFORMATION/NEEDS
AM Only Mondays Tuesdays Wednesdays Thursdays Fridays
Mid-Day Mondays Tuesdays Wednesdays Thursdays Fridays
PM Only Mondays Tuesdays Wednesdays Thursdays Fridays
AM & PM Mondays Tuesdays Wednesdays Thursdays Fridays
"I agree to complete and submit through electronic means this Non-Attending Student Transportation Form and submit it in accordance with Loveland School District policies."
Digital Signature of Parent/Guardian   Date  
"Pursuant to R.C. 1306.01 to 1306.23 of the Ohio Revised Code, the parties have agreed to receipt and transmission of this form in an electronic format. Under Ohio law, an electronic record and signature satisfies applicable legal requirements and may not be denied full and unconditional legal effect or enforceability solely because it is in electronic form."