LUSD Bus Pass Application
Please click here to read our Bus Pass Letter - https://drive.google.com/file/d/1kGTfDjWvIkAdzl57BtTsOxTDfOgKRLSy/view?usp=sharing
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Date *
MM
/
DD
/
YYYY
Parent / Guardian Name *
Street Address *
Mailing Address
Home Phone *
Work Phone
Cell Phone *
Email address *
Have you moved? *
Last year's bus stop? (Type N/A if this does not apply) *
Student Last Name *
Student First Name *
School *
Additional Information?
Grade *
Any Medical Conditions?
Please Read
I have received, read and understand the Transportation Safety plan for Lincoln Unified School District. I understand transportation will only transport my child to his/her designated bus stop. I understand my student must present a valid bus pass each trip. FAILURE TO DO SO MAY CAUSE REFUSAL OF TRANSPORTATION TO THE STUDENT. Parents are advised that the district does not supervise bus stops. I understand the replacement fee for a lost or damaged bus pass is $8.
Parent / Guardian Signature (Please type your name below)
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