BUS REQUEST
Fill out one request for each bus needed. Bus max capacity is 72 @ 3 per seat.
DATE OF TRIP *
MM
/
DD
/
YYYY
LOAD TIME *
Time
:
RETURN TIME *
*Return to West Salem
Time
:
LOADING POINT *
NUMBER OF STUDENTS *
Your answer
NUMBER OF ADULTS *
Your answer
NAME OF CLUB, SPORT OR GRADE *
Your answer
TEACHER OR COACH NAME *
Your answer
TEACHER OR COACH EMAIL *
Your answer
TEACHER OR COACH MOBILE PHONE NUMBER
Your answer
DESTINATION *
Your answer
ADDRESS *
Your answer
REIMBURSABLE *
For example, PTO, Private Schools, YMCA, etc.
IF YES
Which organization will be billed?
Your answer
ADDITIONAL INFORMATION
Your answer
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