August 13, 2018


Fairfax Villa Elementary School

10900 Santa Clara Drive

Fairfax, VA  22030

Request for Change in Transportation


When your child is going home with another student or having another student come home with him/her, both students need to bring in a copy of this sheet filled out and signed by the parent/guardian. Please print, fill out and send in to both students’ teachers.

This request is for (date):


Name of Student (going home with a friend):

Grade and Teacher:

Usual way of getting home:


Name of Student (who has the other student coming with him/her):

Grade and Teacher:

How the students will get home (include bus number):


Parent’s Name:

Parent’s Signature:

Parent’s Phone Number: