Non-Public School Transportation Form


Transportation Department Letterhead

Request for Non-Public School Transportation for the 2023-2024 School Year

Requests MUST be filed prior to April 1, 2023

This form will be sent to Kelly Clink.
If you have ANY questions please contact her at or at ext. 7110

Student's Namerequired
Date of Birthrequired
Must contain a date in M/D/YYYY format
Home Address
Zip Coderequired
Parent/Guardian #1required
Home Phonerequired
Email Addressrequired
Work Phone/ext
Parent/Guardian #2
Home Phone
example: (000) 000-0000
Email Address
Work Phone/ext
example: (000) 000-0000
Name of School
School Address
Entering Graderequired
School Phone
example: (000) 000-0000
Name of Daycare Provider
example: (000) 000-0000
Daycare Address

For transportation to a daycare facility, arrangements must be made with a provider who resides within the Victor Central School District boundaries.

Monday Pick Uprequired
Monday Drop Offrequired
Tuesday Pick Uprequired
Tuesday Drop Offrequired
Wednesday Pick Uprequired
Wednesday Drop Offrequired
Thursday Pick Uprequired
Thursday Drop Offrequired
Friday Pick Uprequired
Friday Drop Offrequired


Emergency Contact Person
Home Phone
example: (000) 000-0000
Cell Phone
example: (000) 000-0000
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