Transportation / Emergency Information Child’s Name ____________________________________________________ Parents Name _________________________________________ Family Address ________________________________________ Family Phone __________________________________________ To School My child gets to school: _____by bus------The bus number is ______ _____is a car rider _____is a walker From School My child gets home from school: _____by bus ----The bus number is _______ _____is a car rider picked up by ____________________ _____is a walker (with authorized adult) _____rides bus to *daycare--- Bus number _________ *The name and phone number of the daycare is _________________________ In case of an Early Release Day due to bad weather my child is to go home: ____The same way as listed above. _____A different way (Please Specify)________________________ Work Phone Numbers Mom__________________ Dad ____________________ Phone numbers of closest relative or emergency contact: 1._____________________________________ 2.  ____________________________________ Parent Signature ___________________________Date _________ Please notify me of any changes in the emergency information listed above. I want your child to get home safely and cannot allow your child to go a different way home other than what is listed above unless you notify me in person, by phone or by note. Thank you!