* Required

Student Services Van Transportation - Special Circumstances Transportation Request

Must be submitted a minimum of one full school day prior to the event date

Use this form if your child(ren) will go to and/or from school using a location other than your normal pickup or drop off for a one-time event.

You must submit a new form for each occurrence.

Please complete this form on-line. You may access the form at the Ellington Public School (EPS) web site. Should you encounter technical difficulties please contact the EPS administrative offices at 860-896-2300.

Center School

My Child(ren)required

Addressrequired

Phonerequired

Emailrequired

Dates Requested

Dates must be between 1 and 7 days from the time of submission

Day One (mm/dd/yyyy)

Day Two (mm/dd/yyyy)

Day Three (mm/dd/yyyy)

Day Four (mm/dd/yyyy)

Day Five (mm/dd/yyyy)

Specifics and reason for requested change:required

Parent/Guardian Namerequired

Please send a confirmation email to the address below*: