Palisades Charter High School

Transportation Bus Request

Transportation Registration for the 2017-2018 school year begins on June 1, 2017. Registration submitted before that date will be deleted. So, please wait until June 1st to register.


Dear Parents/Guardians,


Please complete the Transportation Request Form below if you are interested in transportation to or from campus, including your bus stop selection for your student. Completion of the Transportation Request Form does not guarantee transportation for your student. It is for geographic location data purposes only. Once the data has been gathered, you will be contacted by the Operations Department and given the opportunity sign your student up for the PCHS transportation program.

 

Once your data has been verified, a confirmation email will be sent to you within two business days. If you do not receive an email or if you have questions, please contact Susan Darvish in the Transportation Department at (310) 230-6631 or sdarvish@palihigh.org.

 

Mandatory fields marked *

 

If you need to Make a Transportation Payment, click here.

 

TRANSPORTATION REQUEST FORM

Parent / Guardian Last Name*:
Parent / Guardian First Name*:
Student Last Name*:
Student First Name*:
Student Grade* (as of August 2016):

          

Address*:

City*:

Zip Code*:

Primary Phone #*:
Secondary Phone # or Emergency Telephone #*:
Parent / Guardian Email Address:
By default, the Parent/guardian's email will be the primary way of contact.
If the parent/guardian does not have an email, the student's email will be used.
Student's Email Address:
* required fields

BUS STOP SELECTION FORM

1st Choice Bus Stop*:

2nd Choice Bus Stop*:

* required fields

 

Palisades Charter High School      15777 Bowdoin Street, Pacific Palisades, CA 90272      Tel: (310) 230-6623      Fax: (310) 454-6076      info@palihigh.org


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