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St. Mary's County,
Maryland
311
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Department of Public Works
Request for Transportation
Request for Transportation
Academic Year: 2022 - 2023
The deadline to submit this form to the Transportation Office is: August 1,
2022
.
The bus driver(s) or contractor(s) will contact the parent/guardian to confirm the bus stop location and times of pick up / drop off a few days prior to the student(s) riding the bus.
Complete all fields for student / school information
All requests may have a processing time of up to two weeks.
Additional information can be found on the S.M.C.G. website at:
www.stmarysmd.com/dpw/nonpublicschools
Form was successfully submitted.
Another Request?
There was a problem submitting your application.
Requested Start Date (MM/DD/YYYY)
August 2022
August 2022
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Requested End Date (MM/DD/YYYY)
August 2022
August 2022
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Reason
Address Change
New Student/School
Riding with Another Student
Other
Student / School Information
Student First Name
Student Last Name
School
Kings Christian Academy
Kings Christian Academy
Bay Montessori
Little Flower
Mother Catherine Academy
St. John's
Saint Michaels
Father Andrew White
Saint Mary's Ryken
Leonard Hall Jr. Naval
Mennonite & Clover Hills School
Pin Cushion
Chesterton Academy
Grade
PK3
PK3
PK
K
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Medical Conditions
Gender
Male
Female
Parent / Legal Guardian Information
Parent / Guardian Name(s)
Primary Phone
Secondary Phone
Street Address
PO Box
City
Zip
County of Residence
St. Mary's
Charles
Calvert
Other
Email Address
Bus Stop Information
Requested Bus Stop Location (a.m.)
City
Zip
Requested Bus Stop Location (p.m.)
City
Zip
Additional Information
CONSENT & RELEASE STATEMENT
All children 2nd grade and below must be received at the bus stop location by an adult, and that if no adult is present the bus driver will return the child(ren) to the school upon completion of the assigned bus route.
Any medical conditions stated on this form may be released to the contractor and/or driver of my child(ren)’s bus route, with the understanding that such information will be kept strictly confidential.
The Saint Mary’s County Non-Public School Transportation Office is authorized to release any and/or all information contained in this application to Patuxent River Naval Air Station employees for emergency planning purposes, and that such information will be kept confidential by designated personnel on the Base.
Out of county residents will be charged an out of county fee for ridership on the SMC buses, and will agree to make payments on time, as required by the County.
I have read and understand the above Consent and Release Statement.
Requestor's Name:
Date:
June 2022
June 2022
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