Transportation Information
Bus Rules
Transportation Information
School Cancellations
School district boundary map
Map of the school district. The gray line divides the Black Creek attendance area from the Rock Ledge attendance area.

Change in Bus Route Request:

Change in Bus Route Request
1.
*

This bus transportation request is for the Seymour Wisconsin School District

Does this student currently ride on a bus route?  If Yes, continue to fill out this form. If NO, please scroll down to the form entitled "New Bus Transportation Request".

This bus transportation request is for the Seymour Wisconsin School District

Does this student currently ride on a bus route?  If Yes, continue to fill out this form. If NO, please scroll down to the form entitled "New Bus Transportation Request".

YES
  NO

USE THIS FORM TO REQUEST A CHANGE IN TRANSPORTATION. IF YOUR STUDENT IS NOT CURRENTLY ASSIGNED TO A BUS ROUTE PLEASE GO TO THE FORM ENTITLED "New Bus Transportation Request"

Transportation for the Seymour Community School District will be provided to all rural district resident students who reside two miles or more from the public school which they attend. Students living within the two mile limit will be furnished transportation if the area has been designated "hazardous" by appropriate traffic officers and approved by the state.

Some areas have been designated with group stops and the students need to walk to/from those locations.

Students must be assigned to a bus route in order to receive bus transportation.

All transportation requests require 48 hours prior notice before the change goes into effect.

2.
*

Parent/Guardian Last Name

3.
*

Parent/Guardian First Name

4.
*

Relationship to Student (i.e. Mother, Step-father, Grandparent)

5.

Spouse or Second Adult's Last Name

6.

Spouse or Second Adult's First Name

7.

Relationship to Student

8.
*

Physical Home Address

9.

P.O. Box

10.
*

City/Village

11.
*

State

12.
*

Zip Code

13.
*

Home Phone Number

14.

Cell Phone Number

15.
*

List the current bus transportation for this student.(Ex. Pick up at home and drop off at babysitter)

16.
*

Transportation Time

Transportation Time

AM pick up only
  PM take home only
AM & PM

Student Information:

List below the name of the student needing bus transportation. A separate form must be filled out for each additional child.

We allow one pick-up and one drop-off point (i.e. pick up at home and drop off at sitter's home). Otherwise it is assumed that pick & drop off will be at the resident home listed above.

Alternate addresses must be on an existing bus route for the school/site requested. Bus routes will not deviate from an existing route to accommodate an alternative bus stop location.

17.
*

Student's Last Name

18.
*

Student's First Name & Middle Initial

19.
*

Placement Location

Placement Location

Seymour High School
Seymour Middle School
Rock Ledge Intermediate Ct.
Rock Ledge Primary Center
Black Creek School
20.
*

Grade

21.
*

Enter the date you would like transportation to begin.

22.
*

Will AM & PM transportation be to the home address listed above? If the answer is YES, scroll down to the end of this form and submit it.

Will AM & PM transportation be to the home address listed above? If the answer is YES, scroll down to the end of this form and submit it.

YES
  NO
23.

Will AM transportation be from the above listed home address? If NO, please list the alternative AM address and name of adult at that address below.

Will AM transportation be from the above listed home address? If NO, please list the alternative AM address and name of adult at that address below.

YES
  NO
24.

Name of responsible adult at AM Alternative Address

25.

Address of AM Alternative Pick Up

26.

Will PM transportation be from the above listed home address? If NO, please list the alternative AM address and name of adult at that address below.

27.

Name of responsible adult at PM Alternative Address.

28.

Address of PM Alternative Address.

29.

Please list any further information concerning this transportation request.

I understand that by submitting this form, as the parent/guardian of this student, I agree to the Bus Rules and Regulations found on our website  and will not hold the Seymour Community School District or it's provider's responsible for any injury or damage incurred during bus transportation.

The District reserves the right to refuse this bus route change request for bona fide reasons.

* Enter Your Email Address:

I am not a Robot
Type in the text that you see above:

  

New Bus Transportation Request:

New Bus Transportation Request

USE THIS FORM TO REQUEST NEW BUS TRANSPORTATION. IF YOUR STUDENT ALREADY RIDES A BUS ROUTE, PLEASE GO TO THE FORM ENTITLED "Change In Bus Route Request"

Transportation for the Seymour Community School District will be provided to all rural district resident students who reside two miles or more from the public school which they attend. Students living within the two mile limit will be furnished transportation if the area has been designated "hazardous" by appropriate traffic officers and approved by the state.

Some areas have been designated with group stops and the students need to walk to/from those locations.

Students must be assigned to a bus route in order to receive bus transportation.

All transportation requests require 48 hours prior notice before the change goes into effect

1.
*

Parent/Guardian Last name

2.
*

Parent/Guardian First Name

3.
*

Relationship to student (i.e. Mother, Step-father, Grandparent, etc.)

4.

Spouse or Second Adult Last Name

5.

Spouse or Second Adult First Name

6.

Relationship to student.

7.
*

Physical Home Address

8.

P.O. Box Number

9.
*

City/Village

10.
*

State

11.
*

Zip Code

Student Information:

List below the name of the student needing bus transportation.  A separate form must be filled out for each additional child.

We allow one pick-up and one drop-off point (i.e. pick up at home and drop off at sitter's home). Otherwise it is assumed that pick & drop off will be at the resident home listed above.

Alternate addresses must be on an existing bus route for the school/site requestedBus routes will not deviate from an existing route to accommodate an alternative bus stop location.

 

12.
*

Home Phone Number

13.

Cell Phone Number

14.
*

Student's Last Name

15.
*

Student's First Name & Middle Initial

16.
*

Placement Location

Placement Location

Seymour High School
Seymour Middle School
Rock Ledge Intermediate Ct.
Rock Ledge Primary Center
Black Creek School
17.
*

Grade

18.
*

Transportation requested.

Transportation requested.

AM pick up only
PM take home only
AM & PM
19.
*

Enter the date you would like transportation to begin.

20.
*

Will transportation be to/from the home address?  If the answer is YES, please scroll to the end of this form and submit it.

(1 required)

Will transportation be to/from the home address?  If the answer is YES, please scroll to the end of this form and submit it.

Yes
  No

If bus pick-up is not at the home address, list the name and phone number of responsible adult living at the address & their relationship to the student (i.e. babysitter, grandmother).

21.

Alternative bus pick-up address & city/village

If bus take-home is not at the home address, list the name and phone number of responsible adult living at the address & their relationship to the student (i.e. babysitter, grandmother).

22.

Alternative bus drop-off address & city/village.

23.

Please list any further information concerning this transportation request.

I understand that by submitting this form, as the parent/guardian of this student, I agree to the Bus Rules and Regulations found on our website and will not hold the Seymour Community School District or it's provider's responsible for any injury or damage incurred during bus transportation.

The District reserves the right to refuse this bus route request for bona fide reasons.

* Enter Your Email Address:

I am not a Robot
Type in the text that you see above:

  

  • Seymour Community School District
  • 10 Circle Drive Seymour, WI 54165
  • Phone: See School homepage
  • Seymour Community School District
  • 10 Circle Drive Seymour, WI 54165
  • Phone: See School homepage