Pursuant to section 3635-b of the Education Law, a petition shall be submitted in order to request that the Board of Education investigate the need to establish a Child Safety Zone for the purpose of transporting students to and from school.

The petition shall contain a minimum of 25 qualified voters of the school district or five percent of the number of voters who voted in the previous annual election of the members of the Board of Education, whichever is greater.

For requests that designates an area/neighborhood, please submit the application as a package for the entire neighborhood or area to be affected. The package shall contain the petition and application for each family requesting transportation.

Student(s) is Walking

City ______ ZIP Code ______

On a separate 8½ inch by 11 inch sheet of paper, please provide a map or sketch showing the school route. As a minimum, this map should include the residence where the student(s) reside, location of the school that the student(s) attend, and the route the student(s) travel to and from school. Please indicate all street names and route numbers along the route.