Logo - School District of Waupaca
Logo - School District of Waupaca
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                                                       Certification to Bus Driver                                    

 

 

School: _____________________________________                             Date: __________________

Home Room Teacher __________________________                             Bus #: _________________

 

Signatures of Students:                                                  Print Names of Students:

____________________________________                ________________________________

____________________________________                ________________________________

____________________________________                ________________________________

____________________________________                ________________________________

____________________________________                ________________________________

____________________________________                ________________________________

 

Please make note of the following procedure:

 

If planning to have your child ride a bus other than the one assigned, please call the school your child attends or the bus garage to receive authorization.  If no approval is given, the child may not ride a different bus.

 

 

Signature of Parent or Guardian:                                    Print Name of Parent or Guardian:

 

____________________________________                ________________________________

 

This certification must be signed by the parent and student and returned to the bus driver or home room teacher.

 

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