SCHOOL BUS TRANSPORTATION/TRIP REQUEST Junction Citv School District
Printed name of person making requesi_ Destination_
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Date of trip Departure Time_ Place of departure_ Return time Ji r\t T* rr-r^M n-\c Kcn-n n TT-OTI c^rM-r
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Number of students to be transported Narn.es of adult sponsors/supervisors riding on the school bus along with students
Educational object)ve/£ramework to be covered by this trip_
NOTE: Please fill in all pertinent information and obtain required signatures before forwarding request to District Transportation Administrator. Please forward this completed form at least ten (5) worlcing days before dare needed in order for the request to be processed in a timely manner.
\f s/Sponsor's signature Building Principal's signature