Shuttle Service Request - Single Transport

Shuttle Service Request

Single Transport - After submission of this request, you will be reached by the Transportations Department for the seat availability.
Student Name 1*

First NameLast Name
Campus*
Current Grade*
Student Name 2

First NameLast Name
Campus
Current Grade
Student Name 3

First NameLast Name
Current Grade
Campus
Campus
Parent/Guardian Name*

First NameLast Name
Parent/Guardian Email*
example@example.com
First Date of Service *

MonthDayYear
Date
Last Date of Service *

MonthDayYear
Date
Route Requested*
Shuttle Fare: $3.75 /way per student. I understand that a $3.75/way shuttle fare will be charged to my FACTS account.

I hereby give permission for my child to travel by Rainier Christian schools’ shuttle bus at the times and dates requested above. 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 child may be suspended from the service and the fee is non-refundable.
Remarks if any
Parent/Gaurdian Signature

Clear
Should be Empty: