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SAU 70
The nation's first interstate school district

New Rider Request Form

Required

Please complete for new riders.
 

SAU 70

Hanover, Norwich & Dresden School Districts
41 Lebanon Street, Suite 2
Hanover, NH 03755
603-643-6050

Please fill out the form, red * are required fields.

Select your Schoolrequired
Name of Student to be Transported:required
Graderequired
Additional Students
Name and Grade of Student to be Transported:
Name and Grade of Student to be Transported:
Name of Parent/Guardian:required
Additional Parent/Guardian
Name of Parent/Guardian:
Email Address:
Address 1required
Address 2
Cityrequired
Staterequired
Ziprequired
Phonerequired
Ext
Morning Pickup Location, specific address:
End of Day Drop Off Location, specific address:
Pertinent Health/Mobility or Behavioral Issues:
Comments:
Requested Start Date:required
Must contain a date in M/D/YYYY format
Parent/Guardian Signaturerequired
SAU 70 does not and will not discriminate in any of its educational programs, activities or employment practices on the basis of age, race, color, religion, national origin, sex, sex orientation, marital status, familial status, physical or mental disability. The Title IX Coordinator, 504 and English Language Learners Coordinator is Mr. Rhett Darak, Special Education Director.