Please keep in mind that this request is for the current school year. You will need to complete this form again next year if you still need a boundary exception.

This form is for those who are requesting transportation for students who live outside of their current school’s boundary. Students can only ride the bus as a boundary exception once pre-approved by the Transportation Department. Approval will be granted based on seat availability on the bus and is first come, first serve. The assigned bus stop for the students will be determined by the Transportation Department.

Boundary Exception Transportation requests for the 2022-2023 school year will not begin to be processed until regular ridership is established. No boundary requests will be processed for the first 2 weeks of school. Once processing begins, it may take up to four (4) weeks for each request to be completed. Do NOT resubmit your request. Completion of this form does not guarantee a bus ride.

Transportation for most students is a privilege and not a required service. Any student who does not follow all of the bus rules may lose this transportation privilege.

	Student Information

1.	Students First Name*

2.	Students Last Name*

3.	Home Address on File (House number, street, city, and zip code)*

4.	City & Zip Code*

	School Information

5.	Grade*

6.	School Student Attends*

	Requested Stop Location

7.	Pick-Up Address* The Transportation Department Will Select a Stop Closest to the Address Provided.

8.	Drop-Off Address (If Different From Pick-Up Address)

	Childcare Provider Information (if applicable)

9.	Facility / Provider Name

10.	Phone Number

	Guardian Information

11.	Guardian Name*

12.	Guardian Phone Number*

13.	Guardian Email Address*

	Other

14.	Additional Information (Please fill this out with all the specific needs. The more you clarify your requests the less likely we will have to contact you with further questions.)

15.	By submitting this document, I, the above-listed PARENT/GUARDIAN, authorize the release of the above-listed student on the terms listed in this document and assume full responsibility for my child after they depart the bus. As the PARENT/ GUARDIAN, I relieve the Shoreline School District of responsibility for events occurring after such departure.*
	By submitting this document, I, the above-listed PARENT/GUARDIAN, authorize the release of the above-listed student on the terms listed in this document and assume full responsibility for my child after they depart the bus. As the PARENT/ GUARDIAN, I relieve the Shoreline School District of responsibility for events occurring after such departure.* Yes

16.	Parent/Guardian Electronic Signature*

Boundary Exception Transportation Request Form