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Bus Pass Application


*Best Viewed on a Desktop Computer

ELK GROVE UNIFIED SCHOOL DISTRICT-TRANSPORTATION DEPARTMENT

SCHOOL BUS PASS APPLICATION

Please complete all steps of the application and return to EGUSD Transportation Department, 8421 Gerber Rd, Sacramento, CA-95828
Questions? Call us at (916) 686-7733.

PASS MUST BE DISPLAYED TO BOARD THE BUS


**Students attending school through an Intradistrict/Interdistrict Transfer or Grandparent Agreement are not eligible for transportation.**
Family Information
Enter first/last name
Address
Student Information
All Student(s) Information must be completed. (If your student will be in kindergarten, please indicate AM or PM schedule), Students will be assigned a stop, relative to
home address, if one is not listed below. 
NAME
ID
SCHOOL
GRADE
BUS STOP
Enter Info Above
Enter Info Above
Enter Info Above
Enter Info Above
Enter Info Above
Enter Info Above
Enter Info Above
Enter Info Above
Enter Info Above
Enter Info Above
Enter Info Above
Enter Info Above
Enter Info Above
Enter Info Above
Enter Info Above

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EARLY BIRD DISCOUNT DEADLINE FOR APPLICATION(s) POSTMARKED BY: JUNE 23rd FOR TRACKS B, C & D. FOR TRACK A
AND TRADITIONAL (INCLUDING MODIFIED TRADITIONAL) IS JULY 28th. FOR 2ND SEMESTER IS DECEMBER 1st

Type of Service/Fees

Type of Service/Fees
Annual Service Round Trip
(Early Bird)

Annual Service Round Trip

Annual Service Round Trip

Annual Service Round Trip


group 2

Annual Service One Way
Please mark AM or PM

Annual Service One Way

Annual Service One Way

Annual Service One Way


group 3

Annual Service
One Way (Early Bird)
Please check AM or PM

Annual Service

Annual Service

Annual Service


group 4

Semester Service Round Trip

Semester Service
(Early Bird)

Semester Service

Semester Service

Semester Service

Column 5

(Transportation on a seat available basis) Ticket book #

For credit card orders: Transportation will contact you to complete the transaction.
$20.00 charge for Returned Checks
*All documentation must be included with this application to qualify for the Free bus pass.

By signing below I confirm I have read and will adhere to the EGUSD transportation regulations concerning the transportation of students and the rules that are enforced on District buses for the safety of
students. I also verify that the information contained in this document is true and correct. I understand falsification of information is cause for the revocation of bus service without refund. If I am paying by
credit card, my signature also authorizes charges to the account indicated above. I understand that use of the credit card is subject to the terms and conditions of the issuing bank. I further understand the
bus pass must be displayed when boarding the bus and a $15.00 PROCESSING CHARGE will be assessed for replacement passes for any reason. Video surveillance cameras are used on many district buses.
Boarding the bus is consent to audio and video recording.

The Bus Pass App Sending

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