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

I have additional students to list

Name and Grade of Student to be Transported:

Name of Parent/Guardian:required

Additional Parent/Guardian

I would like to include an additional Parent/Guardian Name

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

I attest I am the legal guardian of the student(s) listed above.

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.

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New Rider Request Form

Please complete for new riders.