Shuttle Service Request Form

Student Name *

First Name Last Name

Campus *

Grade in Fall *

Email *

example@example.com

Shuttle Riders must be 5 years or older by August 31, 2022

KVE: Kent View Elementary

MVE: Maple Valley Elementary

MS/HS: Middle School and High School

The afternoon service between KVE and MS/HS is full.

Route(s) Requested *

Morning: KVE to MS/HS Morning: MVE to MS/HS Morning: MS/HS to MVE Morning: MS/HS to KVE Afternoon: KVE to MS/HS (waitlist) Afternoon: MVE to MS/HS Afternoon: MS/HS to KVE (waitlist) Afternoon: MS/HS to MVE

Remarks:

Please checkmark each bubble for the consent.

I agree *

The monthly billing is added to my FACTS account's incidental billing. Payment is due on the 25th of each month. The September fare is due before the first day of school.

I agree *

The shuttle fare is non-refundable with the exception of school being canceled or if operating remotely.

I agree *

Eating food and drinking anything else but water are not allowed while riding in the shuttle.

I hereby give permission for my student to travel by Rainier Christian Schools' shuttle bus. In granting permission, I hereby expressly waive my claim for liability against Rainier Christian Schools, the Board of Trustees, including its employees and representatives, and release them from liability in connection with this transportation service. Further, I assume full responsibility for any damage to persons and/or property caused by my student. I further expressly agree that in the event disciplinary action may be necessary, my student may be suspended from the service and the fee is non-refundable.

Parent Name *

First Name Last Name

Signature *

Clear