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Bus Rider Information & Permission Form Template

Streamline Your Bus Ministry with Our Easy-to-Use Template

Tracking new bus riders can feel overwhelming, particularly when you're trying to ensure their safety and comfort. This Bus Rider Information & Permission Form Template helps community organizations and churches efficiently gather and manage essential details from riders and their guardians. You'll benefit from easy permissions tracking, streamlined communication, enhanced safety measures, and quick access to vital health information. Plus, our WCAG-aligned labels ensure accessibility for everyone. Start using the live template to simplify your process today!

Use this Template (FREE) Live Preview
Rider full name
Date of birth
School or program name
Grade or year level
Home address (street, city, state, ZIP)
Primary parent/guardian full name
Primary phone number
Primary email address
Relationship to rider
Parent/Guardian
Self (18+)
Caregiver
Other
Please Specify:
Emergency contact full name
Emergency contact relationship to rider
Emergency contact phone number
Allergies (food, medication, environmental)
Health conditions or medications the driver should know
Does the rider have mobility or accessibility needs?
Yes
No
Days the rider will use the bus
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday
Varies week to week
Typical trip times
Morning pickup
Afternoon drop-off
Evening
As needed
Preferred pickup stop
Preferred drop-off stop
Approved adults for pickup (list names and phone numbers)
Is an adult required to meet the rider at drop-off?
Yes
No
I grant permission for the rider to use the free bus service
Yes
No
I authorize emergency medical care if I cannot be reached
Yes
No
I give consent for the rider to appear in program photos/videos
Yes
No
I have read and agree to the bus rules and safety guidelines
Yes
No
I have read and accept the transportation terms and liability waiver
Yes
No
Typed name of consenting adult or rider (18+)
Signature date
Additional notes or accommodations
Signer relationship to rider
Parent/Guardian
Self (18+)
Caregiver
Other
Please Specify:
{"name":"Rider full name", "url":"https://www.quiz-maker.com/QPREVIEW","txt":"Rider full name, Date of birth, School or program name","img":"https://www.quiz-maker.com/3012/images/ogquiz.png"}
Paper art illustration depicting a bus rider information and permission form template for FormCreatorAI

When to use this form

Use this form when you need to collect a rider's details and a parent or adult's consent for school, camp, after-school, or church bus trips. It captures pickup and drop-off locations, emergency contacts, medical needs, and behavior agreements in one place. Send it before the first day on the route, when a new rider joins midyear, or anytime a child changes address or custody. For district-wide routing requests, pair this with the Student transportation form. If a non-parent will make decisions while a child travels, you may also need a Temporary guardianship form. For teens who use city transit instead of a yellow bus, direct them to the Metro bus application form.

Must Ask Bus Rider Information & Permission Questions

  1. What is the rider's full name, date of birth, school, and grade?

    These identifiers reduce duplicates and match the rider to the correct route. If you must verify enrollment or IDs, request records with the Student records request form.

  2. What is the home address and the requested pick-up and drop-off locations (with days of the week)?

    Exact locations and schedules let you assign safe stops and prevent missed pickups. They also help you communicate changes quickly to drivers and families.

  3. Who are the parent/guardian and at least two emergency contacts (names, phones, and relationship)?

    Reliable contacts ensure you can reach someone fast during delays or emergencies. Listing relationships prevents releasing a child to the wrong person.

  4. Does the rider have medical conditions, allergies, medications, or special accommodations we should know about?

    This keeps drivers aware of critical needs and informs seating, equipment, and response plans. It reduces risk and supports ADA or IEP accommodations.

  5. Do you grant permission to ride, agree to the behavior policy, and who is authorized to receive the rider at drop-off?

    Clear consent and expectations improve safety and reduce incidents. Naming authorized adults avoids custody conflicts and failed handoffs.

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