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Private School Request for Transportation

Student(s) must be registered with the East Greenbush Central School District.

For transportation to start on the first day of school, this form must be received by April 1st, 2017. This form MUST be updated annually

IMPORTANT NOTE: If children will need transportation to more than one (1) private school a separate sheet should be used for each school

  • Residents of the East Greenbush Central School District who are eligible for transportation to non-public schools under the 15-mile limit are required to file an application each year for such transportation in accordance with Chapter 363 of the New York State Laws of 1960.
  • Complete and return this form if you wish to request transportation to a private school even if you do not require any transportation
  • Please advise if we should remove your student from the private school list


  • List All Children Attending This School

  • Date Format: MM slash DD slash YYYY
  • Date Format: MM slash DD slash YYYY
  • Other Siblings in this Household

    Include those that have not yet reached school age
  • NameGenderBirth Date 
  • Parents / Guardians

  • NameRelationship to StudentHome PhoneWork / Day PhoneCell Phone 
  • Student Information

  • Must be physical address – not Post Office Box