TRIP REQUEST Junction Citv

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

District Fransportation Administrator's signature

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Date

Date