2017-2018 Short Street Campus Bus Registration
Parent/Guardian Name
Your answer
Address
Your answer
Primary contact email address
Your answer
Guardian One's Name
Your answer
Guardian One's Contact Phone Number
Your answer
Guardian Two's Name
Your answer
Guardian's Two's Contact Number
Your answer
What is the best number to call in the event of an emergency with the bus?
Your answer
Student Information
Child One's Name
Your answer
Child One's Grade
Child's Two Name
Your answer
Child Two's Grade
Child Three's Name
Your answer
Child Three's Grade
Child Four's Name
Your answer
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
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
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