{"id":5949,"date":"2020-05-20T13:07:44","date_gmt":"2020-05-20T17:07:44","guid":{"rendered":"https:\/\/www.brighterchoice.org\/?page_id=5949"},"modified":"2022-02-01T11:59:12","modified_gmt":"2022-02-01T16:59:12","slug":"reregistration-2","status":"publish","type":"page","link":"https:\/\/www.brighterchoice.org\/?page_id=5949","title":{"rendered":"Boy&#8217;s Re-Registration"},"content":{"rendered":"<section class=\"wpb-content-wrapper\"><p>[vc_row][vc_column]<div class=\"templatera_shortcode\"><div class=\"vc_row wpb_row vc_row-fluid call-to-action-fixed vc_custom_1643732141448\" style=\"background-color:#007ec7\"><div class=\"wpb_column vc_column_container vc_col-sm-12\"><div class=\"vc_column-inner\"><div class=\"wpb_wrapper\">\n\t<div class=\"wpb_raw_code wpb_content_element wpb_raw_html\" >\n\t\t<div class=\"wpb_wrapper\">\n\t\t\t<div class=\"eltdf-call-to-action-holder  eltdf-normal-layout eltdf-content-in-grid eltdf-three-quarters-columns\">\n\t<div class=\"eltdf-cta-inner eltdf-grid\">\n\t\t<div class=\"eltdf-cta-text-holder\">\n\t\t\t<div class=\"eltdf-cta-text\">\n                            <h3>Enroll for the upcoming school year<\/h3>\n                            <p>Tuition Free. Transportation from Albany, Cohoes, Schenectady, Troy and more.<\/p>\n                        <\/div>\n\t\t<\/div>\n\t\t<div class=\"eltdf-cta-button-holder\">\n\t            <div class=\"eltdf-cta-button\">\n                        <a itemprop=\"url\" href=\"\/?page_id=8921\" target=\"_self\" class=\"eltdf-btn eltdf-btn-medium eltdf-btn-solid eltdf-btn-arrow\">\n                            <span class=\"eltdf-btn-text\">Apply Now<\/span>\n                        <\/a>\n                    <\/div>\n\t\t<\/div>\n\t<\/div>\n<\/div>\n\t\t<\/div>\n\t<\/div>\n<\/div><\/div><\/div><\/div><\/div>[\/vc_column][\/vc_row][vc_row css=&#8221;.vc_custom_1643734750417{padding-top: 52px !important;padding-bottom: 60px !important;}&#8221;][vc_column]<div role=\"form\" class=\"wpcf7\" id=\"wpcf7-f5947-o1\" lang=\"en-US\" dir=\"ltr\">\n<div class=\"screen-reader-response\"><p role=\"status\" aria-live=\"polite\" aria-atomic=\"true\"><\/p> <ul><\/ul><\/div>\n<form action=\"\/index.php?rest_route=%2Fwp%2Fv2%2Fpages%2F5949#wpcf7-f5947-o1\" method=\"post\" class=\"wpcf7-form init\" enctype=\"multipart\/form-data\" novalidate=\"novalidate\" data-status=\"init\">\n<div style=\"display: none;\">\n<input type=\"hidden\" name=\"_wpcf7\" value=\"5947\" \/>\n<input type=\"hidden\" name=\"_wpcf7_version\" value=\"5.5.4\" \/>\n<input type=\"hidden\" name=\"_wpcf7_locale\" value=\"en_US\" \/>\n<input type=\"hidden\" name=\"_wpcf7_unit_tag\" value=\"wpcf7-f5947-o1\" \/>\n<input type=\"hidden\" name=\"_wpcf7_container_post\" value=\"0\" \/>\n<input type=\"hidden\" name=\"_wpcf7_posted_data_hash\" value=\"\" \/>\n<input type=\"hidden\" name=\"_wpcf7cf_hidden_group_fields\" value=\"[]\" \/>\n<input type=\"hidden\" name=\"_wpcf7cf_hidden_groups\" value=\"[]\" \/>\n<input type=\"hidden\" name=\"_wpcf7cf_visible_groups\" value=\"[]\" \/>\n<input type=\"hidden\" name=\"_wpcf7cf_repeaters\" value=\"[]\" \/>\n<input type=\"hidden\" name=\"_wpcf7cf_steps\" value=\"{}\" \/>\n<input type=\"hidden\" name=\"_wpcf7cf_options\" value=\"{&quot;form_id&quot;:5947,&quot;conditions&quot;:[{&quot;then_field&quot;:&quot;group-returning&quot;,&quot;and_rules&quot;:[{&quot;if_field&quot;:&quot;returning&quot;,&quot;operator&quot;:&quot;equals&quot;,&quot;if_value&quot;:&quot;A. My son will be returning to Brighter Choice in September&quot;}]},{&quot;then_field&quot;:&quot;group-not-returning&quot;,&quot;and_rules&quot;:[{&quot;if_field&quot;:&quot;returning&quot;,&quot;operator&quot;:&quot;not equals&quot;,&quot;if_value&quot;:&quot;A. My son will be returning to Brighter Choice in September&quot;}]},{&quot;then_field&quot;:&quot;group-pickup-2&quot;,&quot;and_rules&quot;:[{&quot;if_field&quot;:&quot;pickup-auth-name-1&quot;,&quot;operator&quot;:&quot;not equals&quot;,&quot;if_value&quot;:&quot;&quot;}]},{&quot;then_field&quot;:&quot;group-pickup-3&quot;,&quot;and_rules&quot;:[{&quot;if_field&quot;:&quot;pickup-auth-name-2&quot;,&quot;operator&quot;:&quot;not equals&quot;,&quot;if_value&quot;:&quot;&quot;}]},{&quot;then_field&quot;:&quot;group-pickup-4&quot;,&quot;and_rules&quot;:[{&quot;if_field&quot;:&quot;pickup-auth-name-3&quot;,&quot;operator&quot;:&quot;not equals&quot;,&quot;if_value&quot;:&quot;&quot;}]},{&quot;then_field&quot;:&quot;group-pickup-5&quot;,&quot;and_rules&quot;:[{&quot;if_field&quot;:&quot;pickup-auth-name-4&quot;,&quot;operator&quot;:&quot;not equals&quot;,&quot;if_value&quot;:&quot;&quot;}]},{&quot;then_field&quot;:&quot;group-pickup-6&quot;,&quot;and_rules&quot;:[{&quot;if_field&quot;:&quot;pickup-auth-name-5&quot;,&quot;operator&quot;:&quot;not equals&quot;,&quot;if_value&quot;:&quot;&quot;}]},{&quot;then_field&quot;:&quot;group-pickup-7&quot;,&quot;and_rules&quot;:[{&quot;if_field&quot;:&quot;pickup-auth-name-6&quot;,&quot;operator&quot;:&quot;not equals&quot;,&quot;if_value&quot;:&quot;&quot;}]},{&quot;then_field&quot;:&quot;group-pickup-8&quot;,&quot;and_rules&quot;:[{&quot;if_field&quot;:&quot;pickup-auth-name-7&quot;,&quot;operator&quot;:&quot;not equals&quot;,&quot;if_value&quot;:&quot;&quot;}]},{&quot;then_field&quot;:&quot;group-transportation&quot;,&quot;and_rules&quot;:[{&quot;if_field&quot;:&quot;bus-form-transportation-time&quot;,&quot;operator&quot;:&quot;not equals&quot;,&quot;if_value&quot;:&quot;Never&quot;}]},{&quot;then_field&quot;:&quot;group-transportation-am&quot;,&quot;and_rules&quot;:[{&quot;if_field&quot;:&quot;bus-form-transportation-time&quot;,&quot;operator&quot;:&quot;not equals&quot;,&quot;if_value&quot;:&quot;PM Only&quot;}]},{&quot;then_field&quot;:&quot;group-transportation-pm&quot;,&quot;and_rules&quot;:[{&quot;if_field&quot;:&quot;bus-form-transportation-time&quot;,&quot;operator&quot;:&quot;not equals&quot;,&quot;if_value&quot;:&quot;AM Only&quot;}]}],&quot;settings&quot;:{&quot;animation&quot;:&quot;yes&quot;,&quot;animation_intime&quot;:200,&quot;animation_outtime&quot;:200,&quot;conditions_ui&quot;:&quot;normal&quot;,&quot;notice_dismissed&quot;:false,&quot;notice_dismissed_update-cf7-5.7.7&quot;:true,&quot;notice_dismissed_update-cf7-5.9.7&quot;:true}}\" \/>\n<\/div>\n<h2>Re-Registration Form for Boys<\/h2>\n<p>Scholar's Name<\/p>\n<div class=\"eltdf-grid-row\">\n<div class=\"eltdf-grid-col-4\">\nLast<br \/>\n<span class=\"wpcf7-form-control-wrap student-last\"><input type=\"text\" name=\"student-last\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" \/><\/span>\n<\/div>\n<div class=\"eltdf-grid-col-4\">\nFirst<br \/>\n<span class=\"wpcf7-form-control-wrap student-first\"><input type=\"text\" name=\"student-first\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" \/><\/span>\n<\/div>\n<div class=\"eltdf-grid-col-2\">\nM.I.<br \/>\n<span class=\"wpcf7-form-control-wrap student-mi\"><input type=\"text\" name=\"student-mi\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" \/><\/span>\n<\/div>\n<div class=\"eltdf-grid-col-2\">\nCurrent Grade<br \/>\n<span class=\"wpcf7-form-control-wrap current-grade\"><input type=\"number\" name=\"current-grade\" value=\"\" class=\"wpcf7-form-control wpcf7-number wpcf7-validates-as-required wpcf7-validates-as-number\" min=\"0\" max=\"12\" aria-required=\"true\" aria-invalid=\"false\" \/><\/span>\n<\/div>\n<\/div>\n<p>Parent\/Guardian<br \/>\n<span class=\"wpcf7-form-control-wrap parent-guardian\"><input type=\"text\" name=\"parent-guardian\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" \/><\/span><\/p>\n<p>Home Address<\/p>\n<div class=\"eltdf-grid-row\">\n<div class=\"eltdf-grid-col-4\">\n<span class=\"wpcf7-form-control-wrap address\"><input type=\"text\" name=\"address\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" placeholder=\"House #\" \/><\/span>\n<\/div>\n<div class=\"eltdf-grid-col-4\">\n<span class=\"wpcf7-form-control-wrap street\"><input type=\"text\" name=\"street\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" placeholder=\"Street Name\" \/><\/span>\n<\/div>\n<div class=\"eltdf-grid-col-4\">\n<span class=\"wpcf7-form-control-wrap apt\"><input type=\"text\" name=\"apt\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" placeholder=\"Apt #\" \/><\/span>\n<\/div>\n<\/div>\n<div class=\"eltdf-grid-row\">\n<div class=\"eltdf-grid-col-6\">\n<span class=\"wpcf7-form-control-wrap city\"><input type=\"text\" name=\"city\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" placeholder=\"City\" \/><\/span>\n<\/div>\n<div class=\"eltdf-grid-col-6\">\n<span class=\"wpcf7-form-control-wrap zip\"><input type=\"text\" name=\"zip\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" placeholder=\"Zip Code\" \/><\/span>\n<\/div>\n<\/div>\n<div class=\"eltdf-grid-row\">\n<div class=\"eltdf-grid-col-4\">\n<label>Home Phone <span class=\"wpcf7-form-control-wrap phone-h\"><input type=\"tel\" name=\"phone-h\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-text wpcf7-tel wpcf7-validates-as-required wpcf7-validates-as-tel\" aria-required=\"true\" aria-invalid=\"false\" \/><\/span><\/label>\n<\/div>\n<div class=\"eltdf-grid-col-4\">\n<label>Cell Phone <span class=\"wpcf7-form-control-wrap phone-c\"><input type=\"tel\" name=\"phone-c\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-text wpcf7-tel wpcf7-validates-as-tel\" aria-invalid=\"false\" \/><\/span><\/label>\n<\/div>\n<div class=\"eltdf-grid-col-4\">\n<label>Work Phone <span class=\"wpcf7-form-control-wrap phone-w\"><input type=\"tel\" name=\"phone-w\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-text wpcf7-tel wpcf7-validates-as-tel\" aria-invalid=\"false\" \/><\/span><\/label>\n<\/div>\n<\/div>\n<p><span class=\"wpcf7-form-control-wrap returning\"><span class=\"wpcf7-form-control wpcf7-radio\"><span class=\"wpcf7-list-item first\"><label><input type=\"radio\" name=\"returning\" value=\"A. My son will be returning to Brighter Choice in September\" checked=\"checked\" \/><span class=\"wpcf7-list-item-label\">A. My son will be returning to Brighter Choice in September<\/span><\/label><\/span><span class=\"wpcf7-list-item last\"><label><input type=\"radio\" name=\"returning\" value=\"B. My son will not be returning to Brighter Choice in September for the following reason\" \/><span class=\"wpcf7-list-item-label\">B. My son will not be returning to Brighter Choice in September for the following reason<\/span><\/label><\/span><\/span><\/span><\/p>\n<div data-id=\"group-not-returning\" data-orig_data_id=\"group-not-returning\"  data-class=\"wpcf7cf_group\">\n<span class=\"wpcf7-form-control-wrap not-returning-reason\"><textarea name=\"not-returning-reason\" cols=\"40\" rows=\"10\" class=\"wpcf7-form-control wpcf7-textarea\" aria-invalid=\"false\"><\/textarea><\/span>\n<\/div>\n<div data-id=\"group-returning\" data-orig_data_id=\"group-returning\"  data-class=\"wpcf7cf_group\">\n<h5>Secondary Contact Information (other than Parent\/Guardian listed above)<\/h5>\n<div class=\"eltdf-grid-row\">\n<div class=\"eltdf-grid-col-6\">\nName<br \/>\n<span class=\"wpcf7-form-control-wrap secondary-contact-name\"><input type=\"text\" name=\"secondary-contact-name\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" \/><\/span>\n<\/div>\n<div class=\"eltdf-grid-col-6\">\nRelationship to Student<br \/>\n<span class=\"wpcf7-form-control-wrap secondary-contact-relationship\"><input type=\"text\" name=\"secondary-contact-relationship\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" \/><\/span>\n<\/div>\n<\/div>\n<p>Address<\/p>\n<div class=\"eltdf-grid-row\">\n<div class=\"eltdf-grid-col-4\">\n<span class=\"wpcf7-form-control-wrap secondary-contact-street\"><input type=\"text\" name=\"secondary-contact-street\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" placeholder=\"Street\" \/><\/span>\n<\/div>\n<div class=\"eltdf-grid-col-4\">\n<span class=\"wpcf7-form-control-wrap secondary-contact-city\"><input type=\"text\" name=\"secondary-contact-city\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" placeholder=\"City\" \/><\/span>\n<\/div>\n<div class=\"eltdf-grid-col-4\">\n<span class=\"wpcf7-form-control-wrap secondary-contact-zip\"><input type=\"text\" name=\"secondary-contact-zip\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" placeholder=\"Zip Code\" \/><\/span>\n<\/div>\n<\/div>\n<div class=\"eltdf-grid-row\">\n<div class=\"eltdf-grid-col-4\">\n<label>Home Phone <span class=\"wpcf7-form-control-wrap secondary-contact-phone-h\"><input type=\"tel\" name=\"secondary-contact-phone-h\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-text wpcf7-tel wpcf7-validates-as-required wpcf7-validates-as-tel\" aria-required=\"true\" aria-invalid=\"false\" \/><\/span><\/label>\n<\/div>\n<div class=\"eltdf-grid-col-4\">\n<label>Cell Phone <span class=\"wpcf7-form-control-wrap secondary-contact-phone-c\"><input type=\"tel\" name=\"secondary-contact-phone-c\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-text wpcf7-tel wpcf7-validates-as-tel\" aria-invalid=\"false\" \/><\/span><\/label>\n<\/div>\n<div class=\"eltdf-grid-col-4\">\n<label>Work Phone <span class=\"wpcf7-form-control-wrap secondary-contact-phone-w\"><input type=\"tel\" name=\"secondary-contact-phone-w\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-text wpcf7-tel wpcf7-validates-as-tel\" aria-invalid=\"false\" \/><\/span><\/label>\n<\/div>\n<\/div>\n<h3>PROOF OF RESIDENCY REQUIRED FOR ALL SCHOLARS \u2013 Please attach two current proofs of residency<\/h3>\n<h4>Documents accepted by the district are:<\/h4>\n<div class=\"eltdf-grid-row\">\n<div class=\"eltdf-grid-col-6\">\n<ul>\n<li>Phone Bill\/Cell Phone<\/li>\n<li>Utility Bill<\/li>\n<li>Cable Bill\/Satellite<\/li>\n<li>Furniture Rental Statement<\/li>\n<li>Auto Insurance ID Card<\/li>\n<\/ul>\n<p><span class=\"wpcf7-form-control-wrap proof-of-residency-1\"><input type=\"file\" name=\"proof-of-residency-1\" size=\"40\" class=\"wpcf7-form-control wpcf7-file\" accept=\".jpg,.jpeg,.png,.gif,.pdf,.doc,.docx\" aria-invalid=\"false\" \/><\/span>\n<\/p><\/div>\n<div class=\"eltdf-grid-col-6\">\n<ul>\n<li>Original Lease Agreement<\/li>\n<li>Payroll Check\/Income Tax<\/li>\n<li>Social Security Statement<\/li>\n<li>DSS Documentation<\/li>\n<li>Document issued by federal, state, or local agencies<\/li>\n<\/ul>\n<p><span class=\"wpcf7-form-control-wrap proof-of-residency-2\"><input type=\"file\" name=\"proof-of-residency-2\" size=\"40\" class=\"wpcf7-form-control wpcf7-file\" accept=\".jpg,.jpeg,.png,.gif,.pdf,.doc,.docx\" aria-invalid=\"false\" \/><\/span>\n<\/p><\/div>\n<\/div>\n<hr>\n<h2>Authorization Form<\/h2>\n<h3>EMERGENCY ALERT<\/h3>\n<p>Please provide an explanation of alerts, if needed:<\/p>\n<p>Health Alert:<br \/>\n<span class=\"wpcf7-form-control-wrap health-alert\"><input type=\"text\" name=\"health-alert\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" \/><\/span><\/p>\n<p>Allergy Alert:<br \/>\n<span class=\"wpcf7-form-control-wrap allergy-alert\"><input type=\"text\" name=\"allergy-alert\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" \/><\/span><\/p>\n<p>Order of Protection Alert:<br \/>\n<span class=\"wpcf7-form-control-wrap protection-alert\"><input type=\"text\" name=\"protection-alert\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" \/><\/span><\/p>\n<h3>EMERGENCY DISMISSAL AUTHORIZATION<\/h3>\n<p>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.<\/p>\n<p><span class=\"wpcf7-form-control-wrap emergency-dismissal-auth\"><span class=\"wpcf7-form-control wpcf7-radio\"><span class=\"wpcf7-list-item first\"><label><input type=\"radio\" name=\"emergency-dismissal-auth\" value=\"In the event of an early emergency dismissal, place my child on their assigned bus. (An adult must greet all Kindergarten students at their assigned bus stops.)\" checked=\"checked\" \/><span class=\"wpcf7-list-item-label\">In the event of an early emergency dismissal, place my child on their assigned bus. (An adult must greet all Kindergarten students at their assigned bus stops.)<\/span><\/label><\/span><span class=\"wpcf7-list-item last\"><label><input type=\"radio\" name=\"emergency-dismissal-auth\" value=\"In the event of an early emergency dismissal, hold my child at school and an authorized adult will pick-up my child at the time of the early dismissal.\" \/><span class=\"wpcf7-list-item-label\">In the event of an early emergency dismissal, hold my child at school and an authorized adult will pick-up my child at the time of the early dismissal.<\/span><\/label><\/span><\/span><\/span><\/p>\n<h3>STUDENT PICK-UP AUTHORIZATION<\/h3>\n<p>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.<\/p>\n<h4 style=\"text-align:center\">Please list parents below as well<\/h4>\n<div class=\"eltdf-grid-row\">\n<div class=\"eltdf-grid-col-4\">\n<span class=\"wpcf7-form-control-wrap pickup-auth-name-1\"><input type=\"text\" name=\"pickup-auth-name-1\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" placeholder=\"Name\" \/><\/span>\n<\/div>\n<div class=\"eltdf-grid-col-4\">\n<span class=\"wpcf7-form-control-wrap pickup-auth-phone-1\"><input type=\"text\" name=\"pickup-auth-phone-1\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" placeholder=\"Phone Numbers\" \/><\/span>\n<\/div>\n<div class=\"eltdf-grid-col-4\">\n<span class=\"wpcf7-form-control-wrap pickup-auth-relationship-1\"><input type=\"text\" name=\"pickup-auth-relationship-1\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" placeholder=\"Relationship to Student\" \/><\/span>\n<\/div>\n<\/div>\n<div data-id=\"group-pickup-2\" data-orig_data_id=\"group-pickup-2\"  data-class=\"wpcf7cf_group\">\n<div class=\"eltdf-grid-row\">\n<div class=\"eltdf-grid-col-4\">\n<span class=\"wpcf7-form-control-wrap pickup-auth-name-2\"><input type=\"text\" name=\"pickup-auth-name-2\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" placeholder=\"Name\" \/><\/span>\n<\/div>\n<div class=\"eltdf-grid-col-4\">\n<span class=\"wpcf7-form-control-wrap pickup-auth-phone-2\"><input type=\"text\" name=\"pickup-auth-phone-2\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" placeholder=\"Phone Numbers\" \/><\/span>\n<\/div>\n<div class=\"eltdf-grid-col-4\">\n<span class=\"wpcf7-form-control-wrap pickup-auth-relationship-2\"><input type=\"text\" name=\"pickup-auth-relationship-2\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" placeholder=\"Relationship to Student\" \/><\/span>\n<\/div>\n<\/div>\n<\/div>\n<div data-id=\"group-pickup-3\" data-orig_data_id=\"group-pickup-3\"  data-class=\"wpcf7cf_group\">\n<div class=\"eltdf-grid-row\">\n<div class=\"eltdf-grid-col-4\">\n<span class=\"wpcf7-form-control-wrap pickup-auth-name-3\"><input type=\"text\" name=\"pickup-auth-name-3\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" placeholder=\"Name\" \/><\/span>\n<\/div>\n<div class=\"eltdf-grid-col-4\">\n<span class=\"wpcf7-form-control-wrap pickup-auth-phone-3\"><input type=\"text\" name=\"pickup-auth-phone-3\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" placeholder=\"Phone Numbers\" \/><\/span>\n<\/div>\n<div class=\"eltdf-grid-col-4\">\n<span class=\"wpcf7-form-control-wrap pickup-auth-relationship-3\"><input type=\"text\" name=\"pickup-auth-relationship-3\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" placeholder=\"Relationship to Student\" \/><\/span>\n<\/div>\n<\/div>\n<\/div>\n<div data-id=\"group-pickup-4\" data-orig_data_id=\"group-pickup-4\"  data-class=\"wpcf7cf_group\">\n<div class=\"eltdf-grid-row\">\n<div class=\"eltdf-grid-col-4\">\n<span class=\"wpcf7-form-control-wrap pickup-auth-name-4\"><input type=\"text\" name=\"pickup-auth-name-4\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" placeholder=\"Name\" \/><\/span>\n<\/div>\n<div class=\"eltdf-grid-col-4\">\n<span class=\"wpcf7-form-control-wrap pickup-auth-phone-4\"><input type=\"text\" name=\"pickup-auth-phone-4\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" placeholder=\"Phone Numbers\" \/><\/span>\n<\/div>\n<div class=\"eltdf-grid-col-4\">\n<span class=\"wpcf7-form-control-wrap pickup-auth-relationship-4\"><input type=\"text\" name=\"pickup-auth-relationship-4\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" placeholder=\"Relationship to Student\" \/><\/span>\n<\/div>\n<\/div>\n<\/div>\n<div data-id=\"group-pickup-5\" data-orig_data_id=\"group-pickup-5\"  data-class=\"wpcf7cf_group\">\n<div class=\"eltdf-grid-row\">\n<div class=\"eltdf-grid-col-4\">\n<span class=\"wpcf7-form-control-wrap pickup-auth-name-5\"><input type=\"text\" name=\"pickup-auth-name-5\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" placeholder=\"Name\" \/><\/span>\n<\/div>\n<div class=\"eltdf-grid-col-4\">\n<span class=\"wpcf7-form-control-wrap pickup-auth-phone-5\"><input type=\"text\" name=\"pickup-auth-phone-5\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" placeholder=\"Phone Numbers\" \/><\/span>\n<\/div>\n<div class=\"eltdf-grid-col-4\">\n<span class=\"wpcf7-form-control-wrap pickup-auth-relationship-5\"><input type=\"text\" name=\"pickup-auth-relationship-5\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" placeholder=\"Relationship to Student\" \/><\/span>\n<\/div>\n<\/div>\n<\/div>\n<div data-id=\"group-pickup-6\" data-orig_data_id=\"group-pickup-6\"  data-class=\"wpcf7cf_group\">\n<div class=\"eltdf-grid-row\">\n<div class=\"eltdf-grid-col-4\">\n<span class=\"wpcf7-form-control-wrap pickup-auth-name-6\"><input type=\"text\" name=\"pickup-auth-name-6\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" placeholder=\"Name\" \/><\/span>\n<\/div>\n<div class=\"eltdf-grid-col-4\">\n<span class=\"wpcf7-form-control-wrap pickup-auth-phone-6\"><input type=\"text\" name=\"pickup-auth-phone-6\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" placeholder=\"Phone Numbers\" \/><\/span>\n<\/div>\n<div class=\"eltdf-grid-col-4\">\n<span class=\"wpcf7-form-control-wrap pickup-auth-relationship-6\"><input type=\"text\" name=\"pickup-auth-relationship-6\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" placeholder=\"Relationship to Student\" \/><\/span>\n<\/div>\n<\/div>\n<\/div>\n<div data-id=\"group-pickup-7\" data-orig_data_id=\"group-pickup-7\"  data-class=\"wpcf7cf_group\">\n<div class=\"eltdf-grid-row\">\n<div class=\"eltdf-grid-col-4\">\n<span class=\"wpcf7-form-control-wrap pickup-auth-name-7\"><input type=\"text\" name=\"pickup-auth-name-7\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" placeholder=\"Name\" \/><\/span>\n<\/div>\n<div class=\"eltdf-grid-col-4\">\n<span class=\"wpcf7-form-control-wrap pickup-auth-phone-7\"><input type=\"text\" name=\"pickup-auth-phone-7\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" placeholder=\"Phone Numbers\" \/><\/span>\n<\/div>\n<div class=\"eltdf-grid-col-4\">\n<span class=\"wpcf7-form-control-wrap pickup-auth-relationship-7\"><input type=\"text\" name=\"pickup-auth-relationship-7\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" placeholder=\"Relationship to Student\" \/><\/span>\n<\/div>\n<\/div>\n<\/div>\n<div data-id=\"group-pickup-8\" data-orig_data_id=\"group-pickup-8\"  data-class=\"wpcf7cf_group\">\n<div class=\"eltdf-grid-row\">\n<div class=\"eltdf-grid-col-4\">\n<span class=\"wpcf7-form-control-wrap pickup-auth-name-8\"><input type=\"text\" name=\"pickup-auth-name-8\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" placeholder=\"Name\" \/><\/span>\n<\/div>\n<div class=\"eltdf-grid-col-4\">\n<span class=\"wpcf7-form-control-wrap pickup-auth-phone-8\"><input type=\"text\" name=\"pickup-auth-phone-8\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" placeholder=\"Phone Numbers\" \/><\/span>\n<\/div>\n<div class=\"eltdf-grid-col-4\">\n<span class=\"wpcf7-form-control-wrap pickup-auth-relationship-8\"><input type=\"text\" name=\"pickup-auth-relationship-8\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" placeholder=\"Relationship to Student\" \/><\/span>\n<\/div>\n<\/div>\n<\/div>\n<h3>Parent\/Guardian Signature<\/h3>\n<div class=\"eltdf-grid-row\">\n<div class=\"eltdf-grid-col-8\">\nName<br \/>\n<span class=\"wpcf7-form-control-wrap auth-signature\"><input type=\"text\" name=\"auth-signature\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" \/><\/span>\n<\/div>\n<div class=\"eltdf-grid-col-4\">\nDate<br \/>\n<span class=\"wpcf7-form-control-wrap auth-date\"><input type=\"date\" name=\"auth-date\" value=\"\" class=\"wpcf7-form-control wpcf7-date wpcf7-validates-as-required wpcf7-validates-as-date\" aria-required=\"true\" aria-invalid=\"false\" \/><\/span>\n<\/div>\n<\/div>\n<hr>\n<h2>Transportation Request Form<\/h2>\n<h3>CITY SCHOOL DISTRICT OF ALBANY<\/h3>\n<p>75 Watervliet Avenue, Albany, NY 12206<br \/>\nPhone (518) 475-6170<\/p>\n<h4>NON-PUBLIC SCHOOL\/CHARTER SCHOOL ANNUAL TRANSPORTATION REQUEST FORM<\/h4>\n<h5>*Albany and Schenectady residents only. Residents from other districts must obtain transportation application from their district transportation office or website.<\/h5>\n<h3><strong>PLEASE NOTE<\/strong> Kindergarten through 6th grade receives yellow busing, 7th - 12th grade use CDTA swiper<\/h3>\n<p>Please schedule my child for transportation<br \/>\n<span class=\"wpcf7-form-control-wrap bus-form-transportation-time\"><span class=\"wpcf7-form-control wpcf7-radio\"><span class=\"wpcf7-list-item first\"><label><input type=\"radio\" name=\"bus-form-transportation-time\" value=\"Never\" checked=\"checked\" \/><span class=\"wpcf7-list-item-label\">Never<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"radio\" name=\"bus-form-transportation-time\" value=\"AM Only\" \/><span class=\"wpcf7-list-item-label\">AM Only<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"radio\" name=\"bus-form-transportation-time\" value=\"PM Only\" \/><span class=\"wpcf7-list-item-label\">PM Only<\/span><\/label><\/span><span class=\"wpcf7-list-item last\"><label><input type=\"radio\" name=\"bus-form-transportation-time\" value=\"Both AM &amp; PM\" \/><span class=\"wpcf7-list-item-label\">Both AM &amp; PM<\/span><\/label><\/span><\/span><\/span><br \/>\n<br><\/p>\n<div data-id=\"group-transportation\" data-orig_data_id=\"group-transportation\"  data-class=\"wpcf7cf_group\">\n<p>Students may be picked up or dropped off at <strong>APPROVED<\/strong> child care locations. However, pick-up and\/or drop-off must occur at the <strong>SAME ADDRESS<\/strong> for <strong>all<\/strong> five days of the week and be <strong>within<\/strong> district boundaries and also <strong>1.5 MILES<\/strong> or more from school attending.<\/p>\n<div data-id=\"group-transportation-am\" data-orig_data_id=\"group-transportation-am\"  data-class=\"wpcf7cf_group\">\nAM Pick-up Address<\/p>\n<div class=\"eltdf-grid-row\">\n<div class=\"eltdf-grid-col-4\">\n<span class=\"wpcf7-form-control-wrap bus-form-pickup-address\"><input type=\"text\" name=\"bus-form-pickup-address\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" placeholder=\"House #\" \/><\/span>\n<\/div>\n<div class=\"eltdf-grid-col-4\">\n<span class=\"wpcf7-form-control-wrap bus-form-pickup-street\"><input type=\"text\" name=\"bus-form-pickup-street\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" placeholder=\"Street Name\" \/><\/span>\n<\/div>\n<div class=\"eltdf-grid-col-4\">\n<span class=\"wpcf7-form-control-wrap bus-form-pickup-name\"><input type=\"text\" name=\"bus-form-pickup-name\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" placeholder=\"Childcare Provider\" \/><\/span>\n<\/div>\n<\/div>\n<\/div>\n<div data-id=\"group-transportation-pm\" data-orig_data_id=\"group-transportation-pm\"  data-class=\"wpcf7cf_group\">\nPM Drop-off Address<\/p>\n<div class=\"eltdf-grid-row\">\n<div class=\"eltdf-grid-col-4\">\n<span class=\"wpcf7-form-control-wrap bus-form-dropoff-address\"><input type=\"text\" name=\"bus-form-dropoff-address\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" placeholder=\"House #\" \/><\/span>\n<\/div>\n<div class=\"eltdf-grid-col-4\">\n<span class=\"wpcf7-form-control-wrap bus-form-dropoff-street\"><input type=\"text\" name=\"bus-form-dropoff-street\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" placeholder=\"Street Name\" \/><\/span>\n<\/div>\n<div class=\"eltdf-grid-col-4\">\n<span class=\"wpcf7-form-control-wrap bus-form-dropoff-name\"><input type=\"text\" name=\"bus-form-dropoff-name\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" placeholder=\"Childcare Provider\" \/><\/span>\n<\/div>\n<\/div>\n<\/div>\n<p>Daycare Provider<\/p>\n<div class=\"eltdf-grid-row\">\n<div class=\"eltdf-grid-col-6\">\nName<br \/>\n<span class=\"wpcf7-form-control-wrap bus-form-daycare-name\"><input type=\"text\" name=\"bus-form-daycare-name\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" \/><\/span>\n<\/div>\n<div class=\"eltdf-grid-col-6\">\nPhone<br \/>\n<span class=\"wpcf7-form-control-wrap bus-form-daycare-phone\"><input type=\"tel\" name=\"bus-form-daycare-phone\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-text wpcf7-tel wpcf7-validates-as-tel\" aria-invalid=\"false\" \/><\/span>\n<\/div>\n<\/div>\n<p>Student's Birth Date<br \/>\n<span class=\"wpcf7-form-control-wrap bus-form-dob\"><input type=\"date\" name=\"bus-form-dob\" value=\"\" class=\"wpcf7-form-control wpcf7-date wpcf7-validates-as-required wpcf7-validates-as-date\" aria-required=\"true\" aria-invalid=\"false\" \/><\/span><\/p>\n<p>Parent(s) \/ Guardian Contact Information<br \/>\n<label>Cell #<span class=\"wpcf7-form-control-wrap bus-form-parent-cell-phone\"><input type=\"tel\" name=\"bus-form-parent-cell-phone\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-text wpcf7-tel wpcf7-validates-as-required wpcf7-validates-as-tel\" aria-required=\"true\" aria-invalid=\"false\" \/><\/span><\/label><\/p>\n<div class=\"eltdf-grid-row\">\n<div class=\"eltdf-grid-col-4\">\nLast Name<br \/>\n<span class=\"wpcf7-form-control-wrap bus-form-parent-last-1\"><input type=\"text\" name=\"bus-form-parent-last-1\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" \/><\/span>\n<\/div>\n<div class=\"eltdf-grid-col-4\">\nFirst Name<br \/>\n<span class=\"wpcf7-form-control-wrap bus-form-parent-first-1\"><input type=\"text\" name=\"bus-form-parent-first-1\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" \/><\/span>\n<\/div>\n<div class=\"eltdf-grid-col-4\">\nPhone<br \/>\n<span class=\"wpcf7-form-control-wrap bus-form-parent-phone-1\"><input type=\"tel\" name=\"bus-form-parent-phone-1\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-text wpcf7-tel wpcf7-validates-as-required wpcf7-validates-as-tel\" aria-required=\"true\" aria-invalid=\"false\" \/><\/span>\n<\/div>\n<\/div>\n<div class=\"eltdf-grid-row\">\n<div class=\"eltdf-grid-col-4\">\nLast Name<br \/>\n<span class=\"wpcf7-form-control-wrap bus-form-parent-last-2\"><input type=\"text\" name=\"bus-form-parent-last-2\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" \/><\/span>\n<\/div>\n<div class=\"eltdf-grid-col-4\">\nFirst Name<br \/>\n<span class=\"wpcf7-form-control-wrap bus-form-parent-first-2\"><input type=\"text\" name=\"bus-form-parent-first-2\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" \/><\/span>\n<\/div>\n<div class=\"eltdf-grid-col-4\">\nPhone<br \/>\n<span class=\"wpcf7-form-control-wrap bus-form-parent-phone-2\"><input type=\"tel\" name=\"bus-form-parent-phone-2\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-text wpcf7-tel wpcf7-validates-as-tel\" aria-invalid=\"false\" \/><\/span>\n<\/div>\n<\/div>\n<p>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.<\/p>\n<div class=\"eltdf-grid-row\">\n<div class=\"eltdf-grid-col-8\">\n<span class=\"wpcf7-form-control-wrap bus-form-signature\"><input type=\"text\" name=\"bus-form-signature\" value=\"\" size=\"40\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" placeholder=\"Signature of Parent\/Guardian\" \/><\/span>\n<\/div>\n<div class=\"eltdf-grid-col-4\">\n<span class=\"wpcf7-form-control-wrap bus-form-signed-date\"><input type=\"date\" name=\"bus-form-signed-date\" value=\"\" class=\"wpcf7-form-control wpcf7-date wpcf7-validates-as-required wpcf7-validates-as-date\" aria-required=\"true\" aria-invalid=\"false\" \/><\/span>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<p><br>\n<p><input type=\"submit\" value=\"Send\" class=\"wpcf7-form-control has-spinner wpcf7-submit\" \/><\/p>\n<div class=\"wpcf7-response-output\" aria-hidden=\"true\"><\/div><\/form><\/div>[\/vc_column][\/vc_row]<\/p>\n<\/section>","protected":false},"excerpt":{"rendered":"Enroll for the upcoming school year Tuition Free. Transportation from Albany, Cohoes, Schenectady, Troy and more. Apply Now Re-Registration Form for Boys Scholar's Name Last First M.I. Current Grade Parent\/Guardian Home Address Home Phone Cell Phone Work Phone A. My son will be returning to Brighter Choice in SeptemberB. My son will not be returning to [...]","protected":false},"author":2,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_monsterinsights_skip_tracking":false,"_monsterinsights_sitenote_active":false,"_monsterinsights_sitenote_note":"","_monsterinsights_sitenote_category":0,"footnotes":""},"class_list":["post-5949","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/www.brighterchoice.org\/index.php?rest_route=\/wp\/v2\/pages\/5949","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.brighterchoice.org\/index.php?rest_route=\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/www.brighterchoice.org\/index.php?rest_route=\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/www.brighterchoice.org\/index.php?rest_route=\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/www.brighterchoice.org\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=5949"}],"version-history":[{"count":3,"href":"https:\/\/www.brighterchoice.org\/index.php?rest_route=\/wp\/v2\/pages\/5949\/revisions"}],"predecessor-version":[{"id":9038,"href":"https:\/\/www.brighterchoice.org\/index.php?rest_route=\/wp\/v2\/pages\/5949\/revisions\/9038"}],"wp:attachment":[{"href":"https:\/\/www.brighterchoice.org\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=5949"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}