2023-2024 MCCC Shuttle Request Form

(To and from Medina County Career Center & Brunswick HS)

MCCC bus transportation is provided from the FRONT of Brunswick High School (EAST DOORS) leaving at 7:20 AM to Medina County Career Center (MCCC).

Students are permitted to ride the AM HS Bus Route from their home to the school to catch the AM MCCC Shuttle. HS Buses arrive beginning at 7:10am.

Afternoon bus transportation from MCCC is scheduled to arrive at Brunswick High School (EAST DOORS) by 2:40 P.M.

Note: there is NO PM transportation from the school to the home. Students/parents must arrange on their own due to the HS dismissal time. etc.

Students who cannot or do not comply with the reasonable direction of the driver OR fail to comply with any bus or safety rules, may be removed from the shuttle service. Thank you.
Today's Date: Today's Date: / MM / DD YYYY
STUDENT NAME STUDENT NAME First Last
Attending School
Grade
Program Type- please select one

Program Type- please select one AM PM All Day
PARENT/GUARDIAN NAME PARENT/GUARDIAN NAME First Last
Primary Contact Number Primary Contact Number - ### - ### ####
Parent Email Address
Comments:
Effective Dates:
From: From: / MM / DD YYYY

First date of school for BHS students is 8/23/2023
To: To: / MM / DD YYYY

Last day of school year is 5/30/2024
I understand that by submitting this form it considered to be my electronic signature.

I understand that by submitting this form it considered to be my electronic signature. Yes
Name of Person Completing Form Name of Person Completing Form First Last