SYLVANIA SCHOOL DISTRICT
TRANSPORTATION STUDENT RELEASE
2018 / 2019

School Student is Attending: 	Grade: 	

Student Name: 	

Home Address: 	Phone: 	

Parent/Guardian: 	

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Daycare /Sitter/ Alternate Location Name:

Address:

Phone:

Effective Date:

Permission is given to transport my child named above to the daycare/babysitter/alternate address listed above for the 2018-2019 school year.  Please check only one box below.

BEFORE SCHOOL ONLY AFTER SCHOOL ONLY BEFORE & AFTER SCHOOL

NOTE:	Only Consecutive Monday– Friday requests within the child’s
home school attendance area will be considered.

(Please allow for a day (5) day notice of any transportation change)

Any change to this release will need to be communicated in writing by the parent/guardian to the school and to the Transportation Department as needed.

(Parent / Guardian)	(Date)

Sylvania Public Schools
ATTN:  Transportation Dept.
4747 N. Holland-Sylvania Road, Sylvania, OH 43560
Telephone (419) 824-8686 / FAX (419) 824-8789

Revised 7-20-18