Student Transportation Services Parental Waiver Form

Student Transportation Services Parental Waiver Form

To be completed by the Parent/Guardian
I understand that, if eligible, the City of Bridgeton Public Schools is obligated to transport my child to and from school pursuant to N.J.S.A. 18A:39-1 et seq. In accordance with N.J.S.A. 18A:39-1c, I agree to waive said transportation services provided by the City of Bridgeton Public Schools. I understand that I will be responsible to provide transportation for my child Student's First Name Student's Last Name to and from each school day and the City of Bridgeton Public Schools will not be required to provide transportation services to my child for the school year. I have received and read the City of Bridgeton Public Schools Transportation Waiver Policy and agree to the terms for Waiving Transportation Services. I understand I may reinstate my child's transportation services upon written request and showing a need due to family or economic hardship as defined by the Transportation Waiver Policy.
Name

First NameLast Name
Signature

Clear
Date

MonthDayYear
Date
Phone Number
Please enter a valid phone number.
Email*

Confirmation Emailexample@example.com
Should be Empty: