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PreK-2 Bus Dropoff Form

The Ithaca City School District does not drop-off or release children in pre-K through second grade unless a designated adult receives them.  If no designated adult is visible at the child’s assigned bus stop, the child will remain on the bus and the office will attempt to contact a designated adult. If an adult cannot be reached, the child will be returned to their school or to the Transportation Department until a responsible party is reached.

Name
Relationship to Child

Parents of children in kindergarten, first, and second grades may file an annual waiver indicating that their children can get off the bus unsupervised.  ​If you wish to file a waiver, complete the following:​ 

I authorize the Ithaca City School District to drop off my kindergarten, 1st grade, or 2nd grade child from the bus ​without​ an adult present to receive the child.  This authorization will remain in effect until the next school year, unless I inform you otherwise in writing.

Current Signature
Date

Signature of Parent/Legal Guardian (use mouse to sign)

STUDENT INFORMATION

Last Name

First Name

Middle Name

Date of Birth

Grade Entering

AUTHORIZED ADULTS TO RECEIVE CHILD FROM BUS
DROPOFF WAIVER (K-2 Students Only)

 

 

I DO NOT authorize the Ithaca City School District to drop off my kindergarten, 1st grade, or 2nd grade child from the bus ​without​ an adult present to receive the child.  This authorization will remain in effect until the next school year, unless I inform you otherwise in writing.

Name of Parent/Legal Guardian 

Relationship to Student

Before submitting form, please verify your answers. After pressing SUBMIT FORM, if there are errors, they will be noted in red.

ACKNOWLEDGEMENT