Check Payment & Waitlist 2025-2026 Parent-Sponsored School Bus Registration Form and Agreement

SUBMIT WAITLIST APPLICATION FOR ALL ROUTES THAT ARE FULL.

Special Note to Palisades Residents:

Please submit the Transportation Interest Form at https://form.jotform.com/250844178978171 to show your interest in possible bus transportation services. We will determine the feasibility of a bus based on demand and conditions.

Agreement:

The undersigned parents or legal guardians/custodians (collectively, “Parents”) of the below identified child (“Child”) hereby acknowledge and agree to the terms and conditions identified below, for Child to participate in a program for bus transportation to and from Paul Revere Charter Middle School (“Paul Revere”) for the 2025-2026 school year coordinated by PRMS Student Services, Inc. (the “Program”), as described herein.

Parents agree to pay $3,050.00 (subject to change) for transportation of Child to and from Paul Revere from the first day of the school year yet to be released by LAUSD but estimated to be August 14, 2025 to June 10, 2026, the last day of the school year (“Program Term”). Such payment shall be made in full by May 31, 2025 by:

Credit/Debit Online Payment (transaction fees will be applied at check out)
Avoid the fees and pay by check, payable to PRMS Student Services, Inc. Drop off in envelope to attention of Lori Vogel, PRMS Student Services, Inc. at Paul Revere's Main Office by June 13th or mailed to:
Lori Vogel
PRMS Student Services, Inc.
P.O. Box 9283
Marina Del Rey, CA 90292

Child will be assigned to a route with the stop requested, but not guaranteed to be on a specific route (such as with another specific student), except that we will always assign siblings to the same bus. All buses shall be configured with three passengers per side.

NO REFUNDS OF ANY KIND once payment is made and seat availability confirmed by PRMS Student Services, Inc., except when a route can't be filled and needs to be cancelled. If your route is full at the time of payment, you will be placed on a wait list and contacted should a seat become available at a later date.

Disclaimer: Los Angeles Unified School District offers of transportation do not change our No Refund policy.

1. Date*

Date submitted

2. Email*

Person submitting registration

3. Bus Stop*

Select bus stop needed for morning & afternoon pick-up/drop-off. Stops subject to change based on enrollment.

4. Alternate Stop*

Yes, allow my child to exit on any stop along assigned route. This Authorization DOES NOT permit your child to change bus routes, and they MUST always ride on their assigned bus. All parties acknowledge, understand and agree to terms using the electronic signature on this agreementNo, allow exit only at assigned stop

5. Student 1 - Date of Birth*

Date of Birth

6. Student 1 - Grade Level in 2025-2026*

678

7. Student 1 - LAST NAME*

Last Name of Student enrolled at Paul Revere MS

8. Student 1 - FIRST NAME*

Last Name of Student enrolled at Paul Revere MS

9. Student 2 - Date of Birth

Date of Birth

10. Student 2 - Grade Level in 2025-2026

678

11. Student 2 - LAST NAME

Last name of student enrolled at Paul Revere MS

12. Student 2 - FIRST NAME

First name of student enrolled at Paul Revere MS

13. Student 3 - Date of Birth

Date of Birth

14. Student 3 - Grade Level in 2025-2026

678

15. Student 3 - LAST NAME

Last Name of Student enrolled at Paul Revere MS

16. Student 3 - FIRST NAME

Last Name of Student enrolled at Paul Revere MS

17. Parent/Guardian 1 -LAST NAME, FIRST NAME*

LAST, FIRST (parent/guardian)

18. Parent/Guardian 2 or Emergency Contact - LAST NAME, FIRST NAME *

LAST, FIRST (emergency contact)

19. Parent/Guardian 1 - Email *

example@example.com (to be used for all communication)

20. Contact 2 - Email

example@example.com (To be used for all communication. DO NOT ENTER DUPLICATE OF #19)

21. Parent 1 - Cell Phone Number*

Please enter a valid phone number to receive Dispatch Mobile Notifications from First Student.

22. Contact 2 - Cell Phone Number

Please enter a valid phone number to receive Dispatch Mobile Notifications from First Student.

23. Student Address*

Full Home Street Address of Student

Street Address Line 2

CityState / Province

Postal / Zip Code

24. Student Physician*

Regular Physician Name or None

25. Student Physician Phone

Please enter a valid phone number.

26. Student Current Medical Alerts for Bus Driver (asthma, diabetes, epilepsy, etc.) or None*

27. Student Allergies or Allergic Reactions or None*

28. Medical Insurance*

Name of Company or None

29. Medical Plan*

Insurance Company Plan and Identification Number or None

30. Parents understand that there are NO REFUNDS OF ANY KIND once payment is made and seat availability is confirmed by PRMS Student Services, Inc. except when a route can't be filled, full refunds (less transaction fees) will be provided. If your route is full at the time of payment, you will be placed on a wait list, reimbursed (less transaction fees), and contacted should a seat become available at a later date. In some extraordinary events, refunds may be considered at our discretion if a replacement rider is found for a vacated seat. Any refunds issued will incur administrative and original transaction fees (including when offered transportation through Los Angeles Unified School District). Selecting Yes indicates all parties acknowledge, understand and agree to terms using the electronic signature on this agreement.*

Yes

31. Parents understand that in the case of illness or injury to your child, the school and/or First Student will try to notify you or the person you have listed as an emergency contact. In case of medical emergency concerning your child, at a time when parents or listed emergency contact cannot be notified, Parents grant full power to the School/PRMS Student Services, Inc., First Student, Inc. to 1) arrange for the transportation of child, whether by ambulance or otherwise, to a proper facility where emergency medical treatment would normally be administered, including but not limited to, an emergency room of a hospital, a doctor's office, or a medical clinic and 2) sign releases as may be required in order to obtain any medical or surgical treatment as is required in the judgement of medical authorities at the facility. This authorization for emergency medical treatment is valid until revoked. Selecting Yes indicates all parties acknowledge, understand and agree to terms using the electronic signature on this agreement.*

Yes

32. Such consideration shall be for bus transportation of Child to and from Paul Revere, by First Student, Inc. or a vendor chosen by PRMS Student Services, Inc. (“Bus Company”). Parents understand that the Program is solely a parent-sponsored undertaking and is intended to provide the school community with an additional choice of school transportation. Parents further understand that neither the Los Angeles Unified School District (“LAUSD”) nor Paul Revere Middle School operate, manage, administer or is otherwise responsible for the Program. No administrator of Paul Revere Charter Middle School or LAUSD has decision making authority. PRMS Student Services, Inc. is solely responsible for this Program. Selecting Yes indicates all parties acknowledge, understand and agree to terms using the electronic signature on this agreement.*

Yes

33. The Program will provide transportation in the mornings, from designated bus stops to Paul Revere, and after school from Paul Revere to designated bus stops. The proposed pick-up/drop-off stops and times can be found at www.PaulRevereMS.com/Buses. Parents understand that the route times are estimates only, that actual times may differ sometimes due to changing circumstances (i.e., weather, traffic), and that the scheduled times and stop locations are within the sole control of Bus Company. Notice of any time or location changes shall be provided to Parents by email and/or by mobile notification as soon as reasonably possible before they take effect. Parents understand they are to regularly check their email/text messages for such changes. Changes are not anticipated to occur once the school year begins, but times and designated bus stops are subject to change at the Program’s sole discretion. Selecting Yes indicates all parties acknowledge, understand and agree to terms using the electronic signature on this agreement.*

Yes

34. Buses must keep to their route schedule in order to get children to school and home on time. Therefore, parents acknowledge that buses will not wait for late arrivals, and that they are solely responsible for making alternate transportation arrangements for their Child who arrives late to a bus departure stop, and/or otherwise misses the bus on any given day. If Parents believe Child will miss a departure designation time, he or she may take the bus from another designated departure bus stop on your route, provided that Child arrives at the other bus stop within the time limits and parameters provided for herein. Selecting Yes indicates all parties acknowledge, understand and agree to terms using the electronic signature on this agreement.*

Yes

35. Child shall be at the morning bus stop with their parents or other designated responsible adult, no later than five minutes prior to the designated bus departure time. Child may not be left unattended under any circumstances while waiting for the bus. Parents or their designated adult are entirely responsible for Child until the bus departs. Child must behave properly while waiting. Neighbors and their properties should be respected, and Parents will be held responsible for any damages caused by Child to neighbors at the location stops. For the after-school route, Child shall be dropped off at designated stops and Parents are solely responsible for ensuring that Child gets home safely. Bus drivers will not wait for Child to be picked up by Parents or anyone else from an after-school bus stop. Selecting Yes indicates all parties acknowledge, understand and agree to terms using the electronic signature on this agreement.*

Yes

36. Parents and Child shall never interfere with a bus driver, block a bus to prevent departure, or otherwise cause the bus to stop once the doors are closed. Selecting Yes indicates all parties acknowledge, understand and agree to terms using the electronic signature on this agreement.*

Yes

37. Parents acknowledge and agree that Child will treat the bus drivers and all other riders with respect, shall abide normal rules of good behavior, by any and all rules of the Program, the schools Bus Behavior Expectations and the Bus Company provided for by the drivers and the Program (collectively, the “Bus Rules”), which may change from time to time at the sole discretion of the Program. Selecting Yes indicates all parties acknowledge, understand and agree to terms using the electronic signature on this agreement.*

Yes

38. Disruptive behavior and/or violation of the Bus Rules by Child shall be grounds for suspension or expulsion from the Program, WITHOUT REFUND OF ANY KIND. For the safety and security of all children in the program and the children who attend schools that the Bus Company uses for bus pick up and drop off, Paul Revere Middle School students may not enter other school campuses (except the school office in an emergency). All decisions concerning violation of Bus Rules, and suspension or expulsion, shall be made by officers of the Program’s (the “Committee”) or others designated by the Program from time to time. The decisions shall be final. No administrator of Paul Revere Charter Middle School or LAUSD has decision making authority. Selecting Yes indicates all parties acknowledge, understand and agree to terms using the electronic signature on this agreement.*

Yes

39. In the event that the school year is longer than the Program Term, Parents understand that they shall provide their own school transportation for Child. In the event that additional bus transportation can be provided, the Committee shall provide Parents with a proposed amendment to this Agreement with the additional consideration and terms for that transportation. Selecting Yes indicates all parties acknowledge, understand and agree to terms using the electronic signature on this agreement.*

Yes

40. Further, if Bus Company ceases to provide bus transportation before the end of the Program, the Committee shall attempt to search for replacement transportation. In such event, a partial refund of the Consideration, consisting of the amount paid to Bus Company for its services (and less administrative fees and transaction fees), shall be made to Parents if and only if this money is collected from Bus Company. No refund will be made if bus transportation is cancelled because of a strike, lockout, law enforcement direction, traffic or weather conditions, or force majeure, unless the Program receives a refund, and then a proportionate allocation shall be made to the Parent, in the Programs sole discretion. Similarly, no refund of any kind shall be made if Child ceases to attend Paul Revere for any reason during the Program Term. Selecting Yes indicates all parties acknowledge, understand and agree to terms using the electronic signature on this agreement.*

Yes

41. Because of the nature of our contractual obligations to our Bus Company, in the event of cancellation or disruption of bus service for reasons of force majeure (including Pandemic related), no refund or only a partial refund may be available to families for the days such cancellation or disruption occurs. Selecting Yes indicates all parties acknowledge, understand and agree to terms using the electronic signature on this agreement.*

Yes

42. The parties agree that this agreement may be electronically signed. The parties agree that the electronic signatures appearing on this agreement are the same as handwritten signatures for the purposes of validity, enforceability, and admissibility. By selecting that you agree to questions presented in this acknowledgement agreement, Parents agree that they have discussed the terms of this agreement and the Bus Rules with their Child, and are satisfied that Child understands them as well. Any other adult who will be taking Child or picking up Child from the bus stops, must also provide their name and agree to acknowledge they have read and understand it and the Program terms. Selecting Yes indicates all parties acknowledge, understand and agree to terms using the electronic signature on this agreement.*

Yes

BY OUR EXECUTION BELOW, WE DO HEREBY EXEMPT AND RELEASE LOS ANGELES UNIFIED SCHOOL DISTRICT, PAUL REVERE CHARTER MIDDLE SCHOOL, PRMS STUDENT SERVICES, INC., IT’S DIRECTORS, THE TRANSPORTATION COMMITTEE AND EACH COMMITTEE MEMBER, AND ANY OTHER PERSON ASSISTING IN THE ORGANIZATION OF THE PROGRAM, INCLUDING THEIR AGENTS, REPRESENTATIVES, SUBSIDIARIES OR AFFILIATES (COLLECTIVELY, THE “RELEASED PARTIES”), FROM ANY AND ALL LIABILITY OR RESPONSIBILITY WHATSOEVER FOR PERSONAL INJURY, PROPERTY DAMAGE OR WRONGFUL DEATH, INCLUDING NEGLIGENCE OF THE RELEASED PARTIES, WHETHER PASSIVE OR ACTIVE. THE UNDERSIGNED FURTHER AGREE THAT ANY DISPUTE CONCERNING THE PROGRAM, EXCEPT THOSE THAT QUALIFY FOR SMALL CLAIMS COURT, SHALL BE RESOLVED IN PRIVATE ARBITRATION, UNDER CALIFORNIA LAW, IN LOS ANGELES,CALIFORNIA, THROUGH THE AMERICAN ARBITRATION ASSOCIATION (“AAA”). IN THE EVENT OF AN ACTION OR PROCEEDING THROUGH THE AAA, THE PREVAILING PARTY SHALL BE ENTITLED TO RECOVER ATTORNEYS’ FEES AND COSTS, INCLUDING COSTS ON APPEAL.*

Yes, all parties acknowledge, understand and agree to terms using the electronic signature on this agreement.

Date of Electronic Signatures*

Date

Parent/Guardian 1 Electronic Signature*

Parent/Guardian 2 or Designated Adult Electronic Signature

Student Electronic Signature*

My Products

2025-26 Round-Trip Bus Transportation Annual Fee. Do not use this form if the route is full, go to Check Payment form to be placed on the waitlist.Paul Revere Middle School 2025-2026 School Year fee is $3050.00. DO NOT MAKE A PAYMENT IF YOUR ROUTE IS FULL. You will automatically be placed on the waitlist and contacted should a seat become available. Make checks Payable to PRMS Student Services, Inc. Drop at Paul Revere's Main Office by June 13, 2025 Avoid the fees and pay by check, payable to PRMS Student Services, Inc. Drop off in envelope to attention of Lori Vogel, PRMS Student Services, Inc. at Paul Revere's Main Office by June 13th or mailed to: Lori Vogel PRMS Student Services, Inc. P.O. Box 9283 Marina Del Rey, CA 90292

$3,050.00

	No. of Seats Needed
2 - Ventura Blvd. / Balboa @ MTA Stop (FULL - WAITLIST ONLY)
2 - Ventura Blvd. / Hayvenhurst @ MTA Stop (FULL - WAITLIST ONLY)
2 - Sherman Oaks Elementary (FULL - WAITLIST ONLY)
2 - Mulholland / Casiano, Bel Air (FULL - WAITLIST ONLY)
2 - Moraga / Sepulveda (at MTA stop), Bel Air (FULL - WAITLIST ONLY)
3 - NOT AVAILABLE - Cheviot Hills Recreation Center, 2551 Motor Ave. (NOT AVAILABLE)
3 - Warner Elementary School, 615 Holmby Ave, Los Angeles, CA 90024 (corner of Woodruff & Warner) FULL - WAITLIST ONLY
4 - Sunset Blvd. & Alpine Dr. @ Metro LIne 2 Bus Stop (FULL-WAITLIST ONLY)
4 - Beverly Hills Garden Park, 486-492 N Canon Dr (@ curb/restrooms) FULL-WAITLIST ONLY
4 - Fairburn Elementary School, 1403 Fairburn Ave, Los Angeles, CA 90024 (stop in front of school) FULL-WAITLIST ONLY
NOT AVAILABLE - 26th St. between Colorado & Santa Monica Blvd., @ Big Blue Bus Stop, Santa Monica, CA 90404 (NOT AVAILABLE)
5 - Westwood Recreation Center, 1350 S Sepulveda Blvd. (FULL-WAITLIST ONLY)
5 - Westwood Charter Elementary. School, 2050 Selby Ave, Los Angeles, CA 90025 (corner at Mississippi & Selby)
5 - S. Barrington Ave & San Vicente Blvd, Los Angeles, CA 90049 @ Big Blue Bus Stop (FULL-WAITLIST ONLY)
7 - NOT AVAILABLE - Mar Vista Recreation Center, 11430 woodbine St. (@ front of Rec. Center)
7 - Clover Elelmentary School, 11020 Clover Ave, Los Angeles, CA 90034 (in front of school)
7 - Overland Elementary School, 10650 Ashby Ave, Los Angeles, CA 90064 (back of school at Putney/Manning)
8 - The Sports Park at Playa Vista Park, 13196 Bluff Creek Dr, Playa Vista (FULL - WAITLIST ONLY)
8 - NOT AVAILABLE - SM Big Blue Bus Stop @ Pearl Apartments, 4111 Via Marina, Marina Del Rey
8 - Coeur D'Alene Elementary School, 810 Coeur D Alene Ave, Venice, CA 90291 (on Garfield by small gate in front of bungalow) FULL-WAITLIST ONLY
8- Walgrove Avenue Elementary School, 1630 Walgrove Ave., Venice (FULL-WAITLIST ONLY)
8 - Mar Vista Elementary. School, 3330 Granville Ave, Los Angeles, CA 90066 (on Indianapolis before Stoner Ave.) FULL-WAITLIST ONLY
NOTE: NO LATE BUS TO PALISADES
1 - Palisades Dr./Piedra Morada Dr. (just before stop sign)
1 - Calle Patricia/Calle Abolada (at stop sign S/E corner)
1 - Summit Club House (at Calle Arbolada)
1 - Palisades Dr. / Palisades Circle (at Casa Nostra before light)
1 - Palisades Dr. / Sunset Bl. (Bench by Casa Gateway parking entrance)
1 - Sunset Bl. / Bienveneda (MTA Stop)
1 - Sunset Bl. / El Medio (at MTA stop)
1 - Sunset Bl. / Swarthmore (at MTA stop)
1 - Sunset Bl. / Capri Dr. (at MTA stop)

Item subtotal:$0.00

Total

$0.00

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2025-2026 Parent-Sponsored School Bus Registration Form and Agreement

Pay by Check & Waitlist Application

ROUTE SELECTION & PAYMENT