2020-2021 Short Street Campus Bus Registration
Email address *
Parent/Guardian Name *
Address *
Primary contact email address *
Guardian One's Name *
Guardian One's Contact Phone Number *
Guardian Two's Name
Guardian's Two's Contact Number
What is the best number to call in the event of an emergency with the bus? *
Student Information
Child One's Name *
Child One's Grade *
Child's Two Name
Child Two's Grade
Child Three's Name
Child Three's Grade
Child Four's Name
Child Four's Grade
Services & Fees
Please Indicate the service you will be using. A $20 Annual Start-up Fee is charged per child in addition to the fees listed below
*
Notes: If your child(ren) will only utilize the bus service at certain times during the year, please indicate below when your child will need service i.e. LCHS soccer, football, cheer practice.
I have reviewed the rules and regulations with my child(ren) and we understand and agree with them. A copy of the rules of the regulations can found at sppslex.org, clicking on "Student Life" and "Bus Information". *
Required
By entering your initials below, you are effectively providing your signature, indicating that all the information on this form is true and accurate, to the best of your knowledge *
A copy of your responses will be emailed to the address you provided.
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