Laurence School Bus Registration 2018-2019
We are pleased to announce that we will continue to offer bus service from Brentwood, Beverly Hills, Hollywood, Studio City, Hancock Park, Los Feliz, and AM only service to the Valley along the Ventura Blvd corridor. Our bus service will be provided by Tumbleweed Transportation. Priority will be given to students who ride daily. Deposit is due at time of registration, and routes/stops may be cancelled due to enrollment. Please submit your deposit check to the Business Office. Thank you!
Please select your AM bus stop (if applicable)
Please select your PM bus stop (if applicable)
Will your child(ren) ride the bus round trip or one way? The afternoon bus leaves Laurence at 2:55 P.M. *
Name of student #1: *
Your answer
Grade for 2018-2019 school year: *
Name of student #2 (if applicable):
Your answer
Grade for 2018-2019 school year:
Name of student #3 (if applicable):
Your answer
Grade for 2018-2019 school year:
Student's Residence Address: *
Your answer
Student's Residence City: *
Your answer
Student's Residence Zip Code: *
Your answer
Student's Residence Phone Number: *
Your answer
Parent 1 name: *
Your answer
Parent 1 email address: *
Your answer
Parent 1 home phone number: *
Your answer
Parent 1 cell phone number: *
Your answer
Parent 2 name:
Your answer
Parent 2 email address:
Your answer
Parent 2 home phone number:
Your answer
Parent 2 cell phone number:
Your answer
Emergency contact's name: *
Your answer
Emergency contact's relationship to student(s): *
Your answer
Emergency contact's home phone number: *
Your answer
Emergency contact's cell phone number: *
Your answer
Second Emergency contact's name: *
Your answer
Second Emergency contact's relationship to student(s): *
Your answer
Second Emergency contact's home phone number: *
Your answer
Second Emergency contact's cell phone number: *
Your answer
The fee for round-trip bus service is $2,450 for the 2018-2019 school year per bus rider. A deposit of $612.50 per bus rider is due at time of registration, via check to the Business Office. The remaining balance of $1,837.50 per rider is due no later than September 30th. You may split this into two payments, so that you pay $918.75 per rider by September 30th and $918.75 per rider by October 31st. The fee for AM-only or PM-only bus service is $1,900 for the 2018-2019 school year per rider. A deposit of $475 per rider is due at time of registration, via check to the Business Office, with the remaining balance of $1,425 per rider due no later than September 30th. You may split this into two payments, so that you pay $712.50 per rider by September 30th and $712.50 per rider by October 31st. If your child(ren) will be riding less than every day, the cost is $17.50/ride. Please select your billing method: *
I understand bus service is being provided by Tumbleweed under contract to Laurence School. I hereby give my full consent and permission for my child(ren), named above, to ride the bus operated by Tumbleweed each school day for Laurence School’s 2018-19 school year, from August 29, 2018-June 6, 2019, as part of the Laurence School Bus Program. I assume all risks arising out of, or relating to, my child's participation in the Laurence School Bus Program. To the full extent permitted by law, I voluntarily release and covenant not to sue Laurence School, its trustees, officers, directors, employees, agents, representatives, coaches, and volunteers ("the Released Parties") from any and all claims that arise out of, or relate to, my child(ren)’s participation in the Laurence School Bus Program. The terms herein shall serve as a release and assumption of risk for my heirs, estate, executor, administrator, assignees, and for all members of my family. I understand, however, that through this Agreement I am not releasing the Released Parties for any injury my child suffers as a direct result of the Released Parties' intentional misconduct or gross negligence. I agree to indemnify the Released Parties for any and all claims and liabilities that might be alleged against the Released Parties arising out of or relating to my child(ren)’s reckless disregard or intentional misconduct associated with the Laurence School Bus Program. In an emergency, Tumbleweed and Laurence School have my permission to obtain medical treatment for my child(ren). My child(ren) and I agree to abide by all school bus rules as established by Tumbleweed and Laurence School. By electronically signing my name below, I understand, acknowledge, and agree fully with all policies, procedures and terms as stated above. I also acknowledge that I am signing this agreement freely and voluntarily, and intend by my signature to be a complete and unconditional release of all liability to the greatest extent allowed by law. If my child(ren)’s behavior on the bus is deemed unsafe or inappropriate by Laurence School, or if my child(ren) fail(s) to follow the bus rules, I fully understand Laurence School reserves the right to dismiss my child(ren) from the bus program and I will remain responsible for my child(ren)’s bus fees. *
Your answer
Medical Information and Permission to Treat Medical Care: I consent to any of the staff, employees, agents and representatives of Tumbleweed administering or consenting to the administration of such emergency medical care to my child(ren) as such person deems appropriate in the circumstances, and hereby authorize medical treatment in case of emergency. Please initial: *
Your answer
Medical Insurance: I understand and acknowledge that Tumbleweed does not carry or maintain health, medical, or disability insurance coverage for my child(ren) and therefore agree to assume the responsibility for such insurance coverage for my child(ren). Please initial: *
Your answer
Medical Conditions: I agree to provide to Tumbleweed with current information concerning any medical or physical conditions, including, but not limited to, allergies, asthma, and medications, of my child(ren), and names and phone numbers for emergency contact. Please initial: *
Your answer
Medical Coverage & Policy ID: (list) *
Your answer
Physician and Phone Number: (list) *
Your answer
Medical Conditions & Medications: (list) *
Your answer
Medical Allergies: (list) *
Your answer
Parents, please provide the name of three families who have permission to pick up your child should you be more than 5 minutes late for any reason: *
Your answer
Electronic Signature of Parent 1: *
Your answer
Today's date: *
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Electronic Signature of Parent 2:
Your answer
Today's date:
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