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Bus Service Agreement 2026-2027
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I, parent/guardian, request that DeSales High School and Mercy Academy make arrangements with Mercy Academy, DeSales High School and Miller Transportation to provide bus service to and/or from school for the 2026-2027 school year.  
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Student Full Name (First name, Last name)
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Student Address, City, State, ZIP
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Student's School

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Student's Grade for the 2026-2027 School Year
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Student's cell phone number (include area code)
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Please provide any medical conditions the bus driver may need to know.
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Parent/Guardian #1 Full Name
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Parent/Guardian #1 Email Address
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Parent/Guardian #1 Cell Phone Number (incl area code)
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Parent/Guardian #2 or Emergency Contact Full Name
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Parent/Guardian #2 or Emergency Contact Cell Phone Number (incl area code)
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Parent/Guardian #2 or Emergency Contact Email Address
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You must complete this form and pay the $200 non-refundable deposit in order to secure your student’s seat on the bus. 

Mercy: Deposit will be charged to your FACTS account and drafted on June 15, 2026.

DeSales: Deposit will be charged to your FACTS account and drafted on June 15, 2026.

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The cost of the service is $900 per student, per year (round trip). For one-way service, the fee is $475 per student, per year (one way, A.M or P.M.).

The remaining balance after the $200 deposit may be paid in installments corresponding with your tuition payment plan. 

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Please select choices below:

All route times and stops are subject to change due to updates to route logistics. 

BUS 1M - Purple (44 seats) 

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Please select choices below:

All route times and stops are subject to change due to updates to route logistics. 

BUS 2M - Pink (44 seats) 

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Please select choices below:

All route times and stops are subject to change due to updates to route logistics. 

SMALL MERCY BUS 3M - Blue (21 seats) 

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Please select choices below:

All route times and stops are subject to change due to updates to route logistics. 

BUS 4D - Orange (44 seats)

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Please select choices below:

All route times and stops are subject to change due to updates to route logistics. 

BUS 5D - BROWN (44 seats) 

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Need to add a stop? If you would like to suggest an additional stop, please indicate below. Final routes will be decided by June 1, 2026.

You may also use this section for comments/questions/other information and someone from your school will respond.
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Time spent on the school bus is considered an extension of the school day. All rules and policies as specified in the student handbook will be expected to be followed while on the bus. Failure to follow this policy, along with the Miller Transportation School Bus Rules, may result in suspension or expulsion from the bus. 
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In consideration for making arrangements for this service by DeSales High School and Mercy Academy, I hereby release and save harmless DeSales High School, Mercy Academy and Miller Transportation and any and all employees of the school from any and all liability for any injuries, loss or other claims arising out of or resulting from this service.

The undersigned parent/guardian agrees to accept all responsibility for the risks, conditions and hazards which may occur whether or not they are now known.

By signing this acknowledgement and assumption of risk and release as the parent/guardian, I am consenting to my son/daughter’s participation and acknowledge that I understand any and all risk, whether known or unknown, is expressly assumed by me and all claims, whether known or unknown, are expressly waived in advance.  
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By typing my name below, I acknowledge and agree to the information on this form.
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