STUDENT MEMBERSHIP DUES
Arrange Transportation 2024/2025 School Year
Name
*
First Name
Last Name
Phone Number
*
Please enter a valid phone number.
Email
*
example@example.com
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Secondary Phone Number
*
Please enter a valid phone number.
Child's Name
*
First Name
Last Name
Sibling Name(s)
Reservation Dates
*
Student Transportation (only select one)
*
prev
next
( X )
Daily Round Trip
Daily Rates will apply.
$
25.00
Day(s)
Child(ren)
Price
Monday
1
2
3
4
5
$
25.00
Tuesday
1
2
3
4
5
$
25.00
Wednesday
1
2
3
4
5
$
25.00
Thursday
1
2
3
4
5
$
25.00
Friday
1
2
3
4
5
$
25.00
Item subtotal:
$
0.00
Monthly Round Trip
Monthly Rates Will Apply
$
500.00
Child(ren)
1
2
3
4
5
Weekly Mornings
Weekly Afternoon Rates Will Apply
$
70.00
Child(ren)
1
2
3
4
5
Weekly Afternoons
Weekly Morning Rates Will Apply
$
70.00
Child(ren)
1
2
3
4
5
Weekly Round Trip
Round Trip Rates Will Apply.
$
125.00
Child(ren)
1
2
3
4
5
Item subtotal:
$
0.00
Bi-Weekly Round Trip
Bi-Weekly Rates Will Apply
$
250.00
Child(ten)
1
2
3
4
5
Bi-Weekly Morning’s Only
Weekly Morning’s Only Rates Will Apply
$
140.00
Child(ren)
1
2
3
4
5
Bi-Weekly Afternoon’s Only
Weekly Afternoon’s Only Rates Will Apply
$
140.00
Child(ren)
1
2
3
4
5
Monthly Morning’s Only
Weekly Morning Only Rates Will Apply
$
280.00
Child(ren)
1
2
3
4
5
Monthly Afternoon’s Only
Weekly Afternoon’s Only Rates Will Apply
$
280.00
Child(ren)
1
2
3
4
5
Payment Methods
Credit Card
Cash App Pay
After submitting the form, you will be redirected to Cash App Pay to complete the payment.
ACH Bank Transfer
Total
*
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*
Submit
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