Address Change Form
Student Busing ID number: *
Student Name: *
Email: *
Current Address:
Street Address: *
Apt/Suite #:
City: *
Province: *
Postal Code: *
New Address:
Street Address: *
Apt/Suite #:
City: *
Province: *
Postal Code: *
Closest Major Intersection :
Nearest Intersection :
Date Service required from new address: * (MM/DD/YYYY)    
Please note that processing time is 5 business days after receipt of the address change request along with the processing fee of $50.

Parent/Guardian Signature:____________________________________________________________
Parent/Guardian Name:_________________________________________________________________
Date:_________________________________________________________________________________

Please enclose a cheque for $50 in favour of Bus To School Program and mail the completed form to the following address:
Bus To School Program
21075 Meadowvale RPO
Mississauga, Ontario L5N 6A2