If you need to change the way your child goes home, please submit this form by 2:00 PM (1:00 PM on Wednesdays). Also, please email your child’s teacher with this change. Please note that the school does not have permission to change a student’s bus assignment. Only the St. Johns County School District’s Transportation Department can process those requests (please see the district website for more details).

1.	Your full name*

2.	Your email address*

3.	Student's full name*

4.	Teacher's name*

5.	Student's grade level*

6.	On which dates will this change occur?*

Your child will be:*

	Parent pick up
	Bus rider
	Extended day

8.	Please give a detailed description of this change.*