<p> KATS TRANSPORTATION PERMISSION</p><p>SIGN AND RETURN THIS SHEET TO YOUR TEACHER AS YOUR APPLICATION TO RIDE KATS BUS.</p><p>I understand that riding the bus is a privilege. A cooperative team effort is the key that will make it possible to provide a safe and more efficient transportation program.</p><p>PARENT/GUARDIAN SECTION</p><p>______Student’s Name Date of Birth School/Program</p><p>______Parent or Guardian (Print) Signature</p><p>______Home Phone Work Phone</p><p>______Pick up Address Zip Code Subdivision/Apt Name</p><p>______Drop off Address Zip Code Subdivision/Apt Name</p><p>Does your child have a physical condition the driver needs to be aware of? Example: diabetic, asthmatic, epileptic, etc: ______</p><p>Do you have any suggestions on what would be helpful to your child if a condition should arise while on the bus? ______</p><p>KI BOIS Head Start staff supervises your child once your child boards the bus in the morning until your child exits the bus in the afternoon.</p><p>NOTE: All bus riders are subject to being filmed by a video camera while on the bus. The parent/student permission form must be signed and returned to the Head Start Center and a copy will be given to KATS Transportation to be kept on file. </p><p>AM______PM______Afterschool______</p><p>Monday______Tuesday______Wednesday______Thursday______Friday______</p><p>KHS-302A-17</p>