Nonpublic Transportation Form 26-27

TRANSPORTATION REQUEST FORM

Nonpublic School School year 2026-2027
Due by April 1st 2026

LATE APPLICATION
NewRenewalChange Request
School ChangeAddress Change (Enter New Address)Grade Change
Student Attendance Information
Non-Public School Selection*
Student ID
Call Reg
Entering Grade*
FemaleMale
Date of Birth*

MonthDayYear
Student Birth First Name*
Mi
Student Birth Last Name*
Address*

Street Address

Street Address Line 2

CityNew York

Zip Code
Guardian Information:
Guardian 1 First Name*
Guardian 1 Last Name*
Guardian 1 Phone number*
Please enter a valid phone number.Format: 000-000-0000.
Relationship
Guardian 1 Email Address*
example@example.com
Guardian 1 Primary Address Same as Student

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Guardian 2 First Name
Guardian 2 Last Name
Guardian 2 Cell Phone
Please enter a valid phone number.Format: 000-000-0000.
Relationship
Guardian 2 Email Address
example@example.com
Guardian 2 Address

Street Address Line 2

CityState

Zip
Emergency Contact Information:
Emergency Contact 1 First Name
Emergency Contact 1 Last Name
Emergency Contact 1 Phone Number
###-### - ####Format: (000) 000-0000.
Emergency Contact 1 Student Relationship
Emergency Contact 2 First Name
Emergency Contact 2 Last Name
Emergency Contact 2 Phone Number
Format: 000-000-0000.
Emergency Contact 2 Student Relationship
Renewal applications you must attach a proof of residency, (utility bill (light, gas, water, phone), lease agreement, mortgage statement). For new applications, you must attach proof of residency and Birth Cerificate.*

Birth Certification & Proof of Residency in the District
Cancelof
Your signature confirms that all information on this form is true and conforms to Transportation Law $3635(1a),(1b), 4402(4d) and all attached documentation is true and most recent. Please ensure you receive verification that your application was received by the transportation department on or before the April 1st deadline. All cancellations must be received within 30 days of moving out of the school district.
Signature of Guardian 1*

Clear
Date

MonthDayYear
Date
Required Documents: Due with this form by April 1st 2026:

1. Valid proof of address: Recent bank statement, utility bill, or lease agreement.

2. Proof of age and guardianship must be submitted along with this form. Students must turn five years old by December 1, 2026.

3. New residents must submit their request(s) within 30 days of moving into the district and provide proof of residency and a copy of the child’s original birth certificate.

NYSED TRANSPORTATION LAW: https://www.p12.nysed.gov/schoolbus/Parents/htm/late_requests.htm

As a unified community, the East Ramapo Central School District is committed to educating the whole child by providing a healthy, safe, supportive, engaging, and challenging learning environment.
Should be Empty:

TRANSPORTATION REQUEST FORM