After3 Bus Request Form Spring 2019 for Middle School
After3's Spring semester will begin February 4th, 2019.

After3 is extending the courtesy of our 5pm private bus to Middle school families that may find it of service. Please fill out the following form for each day that you are interested. The deadline for Middle School bus request is January 20th, 2019, 6pm. Anyone wishing to sign up after the deadline must email After3bus@gmail.com for approval. Bus fee is $60 per month, per day of the week. (For example if you register for Monday and Wednesday the total is $120 per month.)

**Please note this is a request form and not a guaranteed registration.**

Student's First Name *
Your answer
Student's Last Name *
Your answer
Day of the Week of that you are interested in: *
Name of Course Student is taking: *
Your answer
Address *
Your answer
Is your child allowed to self dismiss from the bus? *
Contact Number #1 *
Your answer
Contact Number #2 *
Your answer
Contact Number #3 (Emergency Contact) *
Your answer
Preferred Email *
Your answer
Secondary Email *
Your answer
Submit
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