Vehicle Request Form - Pipestone Area Schools

Today's Date: *

/

Date Needed: *

/

Person Making Request: *

Email: *

Driver(s): *

Reason for Request: *

Department to be Charged to: *

Vehicle Requested : *

Van

Suburban

Bus (School Bus)

Charter Bus (extra charges apply)

Check vehicle requested. Subject to availability.

Number of School Vehicles Requested:

1

2

3

4

Select the number of school vehicles you will need to travel.

Number of Buses Requested:

1

2

3

Please select number of buses requested for trip

Bus Load/Unload: *

If requesting a bus, please check where you will load and unload bus. If a bus doesn't apply to your request, select NA

Destination: *

Leave Time: *

Date of Return: *

/

Estimated Return Time: *

Number of Adult Passengers in Vehicle: *

Number of Student Passengers in Vehicle: *

Additional Information: