AROUND TOWN TRANSPORTATION

AROUND TOWN TRANSPORTATION

Registration Form
Student's Name
Nickname
School
Dismissal Time
Grade
Teacher Name
Services Needed
Birthday
Allergies
Primary Address
Home Phone
Format: (000) 000-0000.
Parent/Guardian Name
Day Phone
Format: (000) 000-0000.
Email
example@example.com
Who is the best person to contact during the day?
What is the best way to contact this person? (work phone, cell, email, etc)
Format: (000) 000-0000.
Emergency Contact
Relationship
Phone
Format: (000) 000-0000.
Emergency Contact
Relationship
Phone
Format: (000) 000-0000.
During the year, we will send reminders about forms due and upcoming events. How do you prefer to be contacted? Please fill in all that apply:
Email
example@example.com
Phone (Call)
Please enter a valid phone number.Format: (000) 000-0000.
Cell Phone (Text Alerts)
Please enter a valid phone number.Format: (000) 000-0000.
Are there any older or younger siblings on this campus? Yes or No If Yes, what grade?
Grade
Health Condition
Pickup
Drop off
Afternoon Pickup
Please check all boxes to show that you agree and understand all terms given.
Please call the office at (305) 879-4931 for the lost & found for any missing items. The bus will not return for any lost or missing items.
Signature

One time registration fee (non-refundable)

$27.00

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