Lenox Public Schools Bus Registration
If you are a resident of Lenox or Lenox Dale, please complete the following form for each child who will be riding a bus next year. Please do not assume that because the bus stopped in your area last year that it will stop there again this year; we will be designing routes based on those students who register online over the summer.

If you do not reside in Lenox or Lenox Dale, there is no guarantee that we will be able to provide bus transportation for your child. However, as in the past, if there is room on the bus, we may be able to allow your child to ride. Please complete this form to indicate your interest. Routes will be published online on or about August 22, 2012.

Parent 1 Mom Dad Step-Dad Step-Mom Other
First Name: Last Name:
Email address:
Home Phone: Cell Phone: Office Phone:


Parent 2 Dad Mom Step-Dad Step-Mom Other
First Name: Last Name:
Email address:
Home Phone: Cell Phone: Office Phone:

Student:
First name: Last name:
Street Number: Street Name:
City:

Student's grade as of Aug 30, 2012 Kindergarten 1st 2nd 3rd 4th 5th 6th 7th 8th 9th 10th 11th 12th

My Student will ride the bus at the following times:
To school in the morning
In the afternoon: to home , to the Lenox Community Center

Other/Comments: