White Bear Lake Area Schools - Transportation Department
4855 Bloom Avenue, White Bear Lake, Minnesota 55110 (651) 407-7538
Please complete this form for each of your children that attend a day care facility.
Home Phone Number
Work/Cell Phone Number
I prefer to be contacted by:
Child Care Provider's Name
Provider's Phone Number
School boundaries have been established for each school in the White Bear Lake Area. Students are
assigned to a school based on the established boundaries. Transportation services will be provided for
students who attend a daycare facility under the follow guidlines:
1. Students will be transported from a daycare facility to a White Bear Lake Area school within the daycare's
2. Students must always be picked up or dropped off at the same location.
Student is to be picked up at:
Student is to be dropped off at:
Mail to: White Bear Lake Area Schools
(please include all information above in your email)
4855 Bloom Avenue
White Bear Lake, MN 55110
Fill out form first, and use
Fax to: (651) 653-2756
this button to print.
For Office Use Only
Notified by: ____________ Date: ____________ Time: ____________