2022-23 School Year Transportation Registration

JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.

IN ORDER TO RESERVE A SEAT FOR NEXT YEAR, STUDENTS SEEKING SCHOOL BUS TRANSPORATION MUST REGISTER!

All students who ride the school bus MUST be issued a school bus pass and MUST register in order to be issued a bus pass. Only FULL DAY/FULL YEAR passes are available. Also, students will only be able to ride the school bus to which they are assigned to be transported from "home to school" and "school to home."

Please complete this form for EACH child in your family.

𝐋𝐚𝐬𝐭𝐥𝐲, 𝐛𝐞 𝐬𝐮𝐫𝐞 𝐭𝐨 𝐜𝐥𝐢𝐜𝐤 𝐭𝐡𝐞 𝐒𝐔𝐁𝐌𝐈𝐓 𝐛𝐮𝐭𝐭𝐨𝐧 𝐚𝐭 𝐭𝐡𝐞 𝐛𝐨𝐭𝐭𝐨𝐦 𝐨𝐟 𝐭𝐡𝐞 𝐟𝐨𝐫𝐦 𝐭𝐨 𝐜𝐨𝐦𝐩𝐥𝐞𝐭𝐞 𝐲𝐨𝐮𝐫 𝐫𝐞𝐠𝐢𝐬𝐭𝐫𝐚𝐭𝐢𝐨𝐧.

Email *

Student First Name: *

Student Last Name: *

Assigned school for the 22-23 school year: *

Paul F. Doyon Memorial School

Winthrop School

Ipswich Middle School

Ipswich High School

Grade for the 22-23 school year: *

Kindergarten

Grade 1

Grade 2

Grade 3

Grade 4

Grade 5

Grade 6

Grade 7

Grade 8

Grade 9

Grade 10

Grade 11

Grade 12

Home Street Address: *

Parent/Guardian First Name: *

Parent/Guardian Last Name: *

Google Maps Walking Distance:

𝐂𝐨𝐩𝐲/𝐩𝐚𝐬𝐭𝐞 𝐭𝐡𝐢𝐬 𝐥𝐢𝐧𝐤 𝐢𝐧 𝐚 𝐧𝐞𝐰 𝐛𝐫𝐨𝐰𝐬𝐞𝐫 𝐭𝐚𝐛:
https://www.google.com/maps/dir///@42.6853949,-70.8476591,15z/data=!4m2!4m1!3e2
This will determine the walking distance from the school to your home address.
*𝐑𝐞𝐭𝐮𝐫𝐧 𝐭𝐨 𝐭𝐡𝐢𝐬 𝐭𝐚𝐛 𝐭𝐨 𝐞𝐧𝐭𝐞𝐫 𝐭𝐡𝐞 𝐝𝐢𝐬𝐭𝐚𝐧𝐜𝐞 𝐛𝐞𝐥𝐨𝐰.

Walking Distance from School (according to Google Maps, please list in miles):

Transportation Fee:

Do I need to pay?

𝐃𝐨𝐞𝐬 𝐲𝐨𝐮𝐫 𝐜𝐡𝐢𝐥𝐝:
Live over two miles from their school? (K-6th grade only)
Qualify for the Free or Reduced Meal Program?
Have two siblings that have already paid for the bus pass?
Then the answer is NO, you only need to submit the form.

𝐈𝐟 𝐲𝐨𝐮𝐫 𝐜𝐡𝐢𝐥𝐝:
Lives under two miles from their school (K-6th grade only)
Is in grades 7-12
Does not qualify for the Free & Reduced Meal Program
Then the answer is YES. Please submit the form and see payment options below.

𝐓𝐫𝐚𝐧𝐬𝐩𝐨𝐫𝐭𝐚𝐭𝐢𝐨𝐧 𝐅𝐞𝐞:
Early Registration: 5/15/22-6/21/22 at the discounted rate of $225 per child, with a family cap of $450
Regular Registration: 6/22/22-7/22/22 at the rate of $250 per child, with a family cap of $500
Late Registration: After 7/22/22 at the rate of $275 per child, with a family cap of $550

Based on the criteria listed above, do you need to pay the transportation fee?

Yes

I'm not sure (please contact Cindy Williams: cwilliams@ipsk12.net)

Clear selection

To Submit Payment of the Transportation Fee:

𝐓𝐨 𝐒𝐮𝐛𝐦𝐢𝐭 𝐏𝐚𝐲𝐦𝐞𝐧𝐭 𝐎𝐧𝐥𝐢𝐧𝐞:
𝐂𝐨𝐩𝐲/𝐩𝐚𝐬𝐭𝐞 𝐭𝐡𝐢𝐬 𝐥𝐢𝐧𝐤 𝐢𝐧 𝐚 𝐧𝐞𝐰 𝐛𝐫𝐨𝐰𝐬𝐞𝐫 𝐭𝐚𝐛:
https://epay.cityhallsystems.com/selection
An additional bank processing fee will apply. When paying online you can submit the total payment per family.
**𝐑𝐞𝐦𝐞𝐦𝐛𝐞𝐫, 𝐲𝐨𝐮 𝐦𝐮𝐬𝐭 𝐜𝐨𝐦𝐩𝐥𝐞𝐭𝐞 𝐭𝐡𝐢𝐬 𝐛𝐮𝐬 𝐫𝐞𝐠𝐢𝐬𝐭𝐫𝐚𝐭𝐢𝐨𝐧 𝐟𝐨𝐫𝐦 𝐛𝐲 𝐫𝐞𝐭𝐮𝐫𝐧𝐢𝐧𝐠 𝐭𝐨 𝐭𝐡𝐢𝐬 𝐭𝐚𝐛 𝐭𝐨 𝐜𝐥𝐢𝐜𝐤 𝐒𝐔𝐁𝐌𝐈𝐓 𝐚𝐭 𝐭𝐡𝐞 𝐛𝐨𝐭𝐭𝐨𝐦 𝐨𝐟 𝐭𝐡𝐞 𝐟𝐨𝐫𝐦

𝐓𝐨 𝐒𝐮𝐛𝐦𝐢𝐭 𝐏𝐚𝐲𝐦𝐞𝐧𝐭 𝐈𝐧-𝐏𝐞𝐫𝐬𝐨𝐧:
Print out the email receipt of this form and mail to Central Office (or drop off at any school) with a check or money order. Your check can include the total payment per family.

𝐌𝐚𝐢𝐥𝐢𝐧𝐠 𝐀𝐝𝐝𝐫𝐞𝐬𝐬:
Ipswich Public Schools
Bus Registration
1 Lord Square
Ipswich, MA 01938

*Passes will be issued at school to all qualifying students within the first week of school. Passes will not be required to ride the bus the first week of school.

A copy of your responses will be emailed to the address you provided.

Submit

Clear form

Never submit passwords through Google Forms.

reCAPTCHA

Privacy Terms

This form was created inside of Ipswich Public Schools. Report Abuse

Forms