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    Re-Registration Form for Boys

    Scholar's Name

    Last
    First
    M.I.
    Current Grade

    Parent/Guardian

    Home Address

    Secondary Contact Information (other than Parent/Guardian listed above)
    Name
    Relationship to Student

    Address

    PROOF OF RESIDENCY REQUIRED FOR ALL SCHOLARS – Please attach two current proofs of residency

    Documents accepted by the district are:

    • Phone Bill/Cell Phone
    • Utility Bill
    • Cable Bill/Satellite
    • Furniture Rental Statement
    • Auto Insurance ID Card

    • Original Lease Agreement
    • Payroll Check/Income Tax
    • Social Security Statement
    • DSS Documentation
    • Document issued by federal, state, or local agencies

    Authorization Form

    EMERGENCY ALERT

    Please provide an explanation of alerts, if needed:

    Health Alert:

    Allergy Alert:

    Order of Protection Alert:

    EMERGENCY DISMISSAL AUTHORIZATION

    It may be necessary to close school early due to an emergency. The most common reason for an emergency dismissal is hazardous weather conditions. Please indicate below if your child will ride the bus or be picked up if school has an emergency early dismissal.

    STUDENT PICK-UP AUTHORIZATION

    I, as parent or guardian of the student named above, provide the adults listed below authorization to pick-up my child from school. I realize that the school may contact a person listed below in the event of an emergency when they are unable to reach the primary contacts listed on the registration form.

    Please list parents below as well

    Parent/Guardian Signature

    Name
    Date

    Transportation Request Form

    CITY SCHOOL DISTRICT OF ALBANY

    75 Watervliet Avenue, Albany, NY 12206
    Phone (518) 475-6170

    NON-PUBLIC SCHOOL/CHARTER SCHOOL ANNUAL TRANSPORTATION REQUEST FORM

    *Albany and Schenectady residents only. Residents from other districts must obtain transportation application from their district transportation office or website.

    PLEASE NOTE Kindergarten through 6th grade receives yellow busing, 7th - 12th grade use CDTA swiper

    Please schedule my child for transportation


    Students may be picked up or dropped off at APPROVED child care locations. However, pick-up and/or drop-off must occur at the SAME ADDRESS for all five days of the week and be within district boundaries and also 1.5 MILES or more from school attending.

    AM Pick-up Address

    PM Drop-off Address

    Daycare Provider

    Name
    Phone

    Student's Birth Date

    Parent(s) / Guardian Contact Information

    Last Name
    First Name
    Phone
    Last Name
    First Name
    Phone

    I have read and understand all of the information provided on this transportation request form. I certify that I am a resident of the City School District of Albany and am entitled to receive transportation services.


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