Bus Application 2023-2024 - Richfield Campus

One application per child

Fee for designated families who reside outside the resident district boundaries of either campus.

Select a Campus

Bloomington

Richfield

Application Type

Please select one

Student

First Name

Last Name

Grade

2023 - 2024

HOME ADDRESS

Add Apartment number on Address Line 2

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Cell Phone

(###)

###

####

Email Address

Name of Parent / Guardian

First Name

Last Name

Name of Parent / Guardian

First Name

Last Name

Transportation TO SCHOOL

Yes

No

ADDRESS

Add apartment number on Address Line 2

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Caregiver Name

First Name

Last Name

Cell Phone number of Caregiver

(###)

###

####

Transportation FROM SCHOOL

Yes

No

ADDRESS

Add apartment number on Address Line 2

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Caregiver Name

First Name

Last Name

Cell Phone number of Caregiver

(###)

###

####

Siblings Name (s)

First Name

Last Name

Comments

Are you currently homeless?

Yes

No