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Khepera Charter School is a K-8 African-Centered Academy devoted to the Rebirth of Academic and Cultural Excellence.  It is a tuition-free Philadelphia public charter school.  


KHEPERA CHARTER SCHOOL
2017-2018 TRANSPORTATION REQUEST
Grades 1 – 8 only (Kindergarten NOT Eligible)
 
Please fill out this request only if you need transportation that will be provided by the School District of Philadelphia.
You are eligible for transportation if you live more than 1.5 miles away from the school.
 
Student Name:  _________________________________________
                                                           
Birth Date:______________             Grade: ____        Teacher ____________________
 
Address:____________________________________________ Bus #:____________
                  
Please check All that apply.
____Yes, I’m requesting Bus Service for my child in (1st – 6th Grade). I understand that for bus service to be granted, I must live more than 1.5 miles away from Khepera Charter School per the School District of Philadelphia.
 
Pick Up Address Request: ________________________________________ 
Cross Street: _______________________________________________
Drop Off Address Request: _______________________________________
Cross Street: _______________________________________________
 
____Yes, I’m requesting a free weekly Student Transpass for my child in (7th -8th Grade). I understand that for a free weekly student transpass to be granted, I must live more than 1.5 miles away from Khepera Charter School according to the School District of Philadelphia.
________________________________________________________________________
Print Parent/Guardian_________________________ Signature Parent/Guardian_______________________                         
Home Number _______________Work Number __________________Cell Number ____________________
 
Emergency Contact:
Name: __________________________________________________
Address: ________________________________________________________________
Home Number _______________Work Number __________________Cell Number ____________________
 
 
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