Partners in Education
Mike Jones - General Manager Petermann
Robin McCabe- Administrative Assistant
4342 Glen Estes-Withamsville Rd. Cincinnati, OH 45245
Phone: 752-4020
Fax: 752-2376
CHILDCARE/DAYCARE TRANSPORTATION FORM
Purpose: Requesting a change in my child/children’s bus stop location for the purpose of using a
childcare/daycare provider.
Guidelines:
1. Students must be picked up and/or dropped off at the same bus stop on a regular schedule for the
entire year. Parents may request service for AM, PM or both.
2. Childcare/Daycare must be located on an existing transportation route. The Transportation
Department will not be able to create new routes, bus stops or connections between schools to
accommodate childcare/daycare provider.
3. One (1) bus stop change per school year may be requested.
4. Childcare/Daycare transportation requests must be made each school year.
Home ‐ Regular Pick Up / Drop Off
Parent Name ____________________________________________________________________
Address ____________________________________________________________________
Home # ______________________Work # _________________Cell # __________________
Child’s Name __________________________________ DoB_________School ____________Grade________
Child’s Name __________________________________ DoB_________School ____________Grade________
Child’s Name __________________________________ DoB_________School ____________Grade________
Childcare/Daycare Provider – Pick Up / Drop Off
Childcare/Daycare Provider Name __________________________________________________________
Address _____________________________________________________________________
Home # _______________________________ Cell # ______________________________
I understand and agree with the guidelines as stated above and give permission for my child to transport to the above
named childcare/daycare provider.
_______________________________________________
_______________
Parent Signature
Date
EMAIL (), MAIL, OR FAX THIS FORM TO: TRANSPORTATION SUPERVISOR
The Transportation Department will need several days to make the change and will notify you once approved
.
Office Use Only:
Original Bus # ___________ Original Bus Stop Location _______________________________________________
New Bus Stop Location ________________________________________
The Transportation office will contact you about details.
4342 Glen Este-Withamsville Road, Cincinnati, Ohio 45245 (513) 752-4020
and