SWITA 2023-2024 In-Town Transportation Route Registration Form

2023-2024 Registration Form

In-Town Transportation Route Registration Form
Please use this form to register a rider(s) for SWITA's student transportation. Each rider needs a form filled out every school year--so if you did this last year, we do need you to do this again.

If you have problems with this online form or cannot pay via card or Paypal/Venmo, please come to the office at 1501 SW 7th St., Atlantic, IA 50022 or call the office at 712-243-2518 to register.

If you have a Headstart student, do not register via this form--talk with your Headstart school and they will register you directly with us.

Because of the volume of registrations, new registrations do not start until the beginning of the following week.

Once you are registered, you do not have to go through this process again to add funds to your student's account. Simply go to "Make a Payment" at the very top of www.swita.com and you can add funds there.

Thank you for choosing SWITA! Here's to a great school year!
Start Date*

MonthDayYear
Date
Parent/Guardian Information
Parent/Guardian Name 1*

First NameLast Name
Parent/Guardian Name 2

First NameLast Name
Home Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number*
Please enter a valid phone number.
Email*
example@example.com
Emergency Contacts
Emergency Contact 1

First NameLast Name
Emergency Contact 1 Phone Number
Please enter a valid phone number.
Emergency Contact 2

First NameLast Name
Emergency Contact 2 Phone Number
Please enter a valid phone number.
Rider(s) Information
Number of Riders*

Rider 1 Information
Rider 1 - Name

First NameLast Name
Rider 1 - Grade
Rider 1 - School
Rider 1 - Is On Call Only?
Rider 1 - Pick Up Location (Address BEFORE School)

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Rider 1 - Drop Off Location (Address AFTER School)

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Rider 1 - School Start/End Times

	Mon	Tue	Wed	Thu	Fri
School Start Time
School End Time

Rider 1 - Do any of the days above have special instructions?
Rider 1 - List anyone other than individuals listed above that are allowed to pick up your child from the bus.

Rider 2 Information
Rider 2 - Name

First NameLast Name
Rider 2 - Grade
Rider 2 - School
Rider 2 - Is On Call Only?
Rider 2 - Pick Up Location (Address BEFORE School)

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Rider 2 - Drop Off Location (Address AFTER School)

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Rider 2 - School Start/End Times

	Mon	Tue	Wed	Thu	Fri
School Start Time
School End Time

Rider 2 - List anyone other than individuals listed above that are allowed to pick up your child from the bus.
Rider 2 - Do any of the days above have special instructions?

Rider 3 Information
Rider 3 - Name

First NameLast Name
Rider 3 - Grade
Rider 3 - School
Rider 3 - Is On Call Only?
Rider 3 - Pick Up Location (Address BEFORE School)

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Rider 3 - Drop Off Location (Address AFTER School)

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Rider 3 - School Start/End Times

	Mon	Tue	Wed	Thu	Fri
School Start Time
School End Time

Rider 3 - Do any of the days above have special instructions?
Rider 3 - List anyone other than individuals listed above that are allowed to pick up your child from the bus.

Rider 4 Information
Rider 4 - Name

First NameLast Name
Rider 4 - Grade
Rider 4 - School
Rider 4 - Is On Call Only?
Rider 4 - Pick Up Location (Address BEFORE School)

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Rider 4 - Drop Off Location (Address AFTER School)

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Rider 4 - School Start/End Times

	Mon	Tue	Wed	Thu	Fri
School Start Time
School End Time

Rider 4 - List anyone other than individuals listed above that are allowed to pick up your child from the bus.
Rider 4 - Do any of the days above have special instructions?

Pay and submit your registration.
Please sign below

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Enter Payment Amount
prevnext( X )
USD$30 is the minimum to start riding. You may enter a higher amount. Reminder, each ride is $1.50.

Payment Methods

Debit or Credit Card

First Name

Last Name

Credit Card Number

Security Code

Card Expiration

Please click one of the PayPal options to complete payment and submit the form.

Should be Empty:

2023-2024 Registration Form

Parent/Guardian Information

Emergency Contacts

Rider(s) Information

Rider 1 Information

Rider 2 Information

Rider 3 Information

Rider 4 Information

Pay and submit your registration.