Kern High School District

Transportation Request
Requests for out-of-town trips are to be made 10 days in advance. Requests for local trips are to be made at least
5 days in advance. THIS REQUEST COVERS THE DESIGNATED TRIP ONLY.

School Department Originator No. of No. of Today’s Funding

Passengers Buses Date (Account #)
GVHS Fine Arts Tim Williams 7 1 5/19/06

School Budget
✘ Student Paid

Class or Activity State Honor Choir

Destination Ontario, CA

Type of Transportation school ✘ school other

bus car type
(Please explain other type of transportation)

Specific Location of Departure East Parking Lot

Date of Departure 3/15/07 Date of Return 3/17/07

Time of Departure (from above location) 6:00 a.m. p.m.

Time of Return (to above location) a.m. 6:00 p.m.

Will bus make any stops en route to or from destination? ✘ Yes No

If yes, location of extra stop breakfast on way up and dinner on return

(deviation must be approved by the Transportation Department)

Chaperone(s) Timothy Williams, Samantha Williams

Approved Approved
Principal/Designee Supervisor of Transportation