Kern High School District

Transportation Request
Requests for out-of-town trips are to be made 10 days in advance. Requests for local trips are to be made at least
5 days in advance. THIS REQUEST COVERS THE DESIGNATED TRIP ONLY.

School Department Originator No. of No. of Today’s Funding

Passengers Buses Date (Account #)

School Budget
Student Paid

Class or Activity

Destination

Type of Transportation school school other

bus car type
(Please explain other type of transportation)

Specific Location of Departure

Date of Departure Date of Return

Time of Departure (from above location) a.m. p.m.

Time of Return (to above location) a.m. p.m.

Will bus make any stops en route to or from destination? Yes No

If yes, location of extra stop

(deviation must be approved by the Transportation Department)

Chaperone(s)

Approved Approved
Principal/Designee Supervisor of Transportation