Fortuna High School

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TRANSPORTATION REQUEST FORM

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NOTE TO ALL DRIVERS: A COPY OF YOUR DRIVER'S LICENSE AND CURRENT DMV PRINTOUT (H-6) IS REQUIRED TO BE ON FILE IN THE FORTUNA UNION HIGH SCHOOL DISTRICT OFFICE BEFORE ANY TRAVEL.

TODAY'S DATE:*

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ORGANIZATION'S NAME: *

Name of club, sport team, activity, etc.

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CONTACT PERSON:*

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CONTACT PHONE NUMBER:*

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CONTACT EMAIL ADDRESS*

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TOTAL NUMBER OF PASSENGERS INCLUDING DRIVER*

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DESTINATION:*

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DEPARTURE DATE:*

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DEPARTURE TIME*

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RETURN DATE:*

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RETURN TIME:*

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NUMBER of VEHICLE(S) NEEDED:*

Rental Car (seats 7 including driver), Rental Van (seats 8 including driver)

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BUS INFORMATION: List all possible stops going to destination AND List all possible stops on return trip*

Answer "NONE" if not using a bus

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VAN / CAR INFORMATION: List all drivers AND Route going and route returning*

Answer "NONE" if not using a van / car

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GAS CARD REQUESTED?*

ANSWER: Yes or No in the box below

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ADMINISTRATION SIGNATURE ______________________________________________________

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Confirmation Email

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