Sarasota School of Arts and Sciences

645 Central Avenue

Sarasota, Florida 34236

941 330-1855

School Bus Transportation for students living in Manatee County

Registration Form

A fee of $20.00 a month/per household will be charged

(Students participating in free/reduced lunch should contact Ms. Wachob ext. 207 for assistance)

Student Name (Print): ______________________________________________

DOB (mm/dd/yy): _____________Age: _____Grade: ____Sex (M/F): ____

Address: ______________________________________________________

_______________________________________________________

Morning Bus Stop: _____________________________________________

After School Bus Stop: __________________________________________

Seat Assignment (Bus Driver fill in): __________

Parent(s) or

Guardian(s) Name (Print): ____________________________________________

Emergency Phone #: _________________ Home Phone #: __________________

I have read and agree with the Bus code of conduct.

Parent’s/Guardian’s Signature ___________________________ Date: ______

Student’s Signature ___________________________________ Date: ______