CMIT North Summer Bridge Student Transportation Registration
Register your child for summer school travel. Complete all sections and submit the $75 registration fee.
Parent/Guardian Information
Full Name
*
First Name
Last Name
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Email Address
*
example@example.com
Student Information
Student Full Name
*
First Name
Last Name
Date of birth
-
Month
-
Day
Year
Date
Grade (2026-2027)
Please Select
6th Grade
9th Grade
Route Configuration
Home Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Secondary Residential (if necessary)
Emergency Contact
Emergency Contact Name
*
First Name
Last Name
Relationship to Student
*
Emergency Contact Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Allergies or Medical Conditions
Agreements and Consents
*
I agree to the service terms
I authorize emergency medical treatment if necessary
I release liability for travel-related incidents
I have informed/discussed these travel plans with my student
Code of Conduct Acknowledgement
*
I have read and acknowledge the code of conduct
Registration Fee Payment
*
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Summer School Travel Registration Fee
Required fee for student registration. Non-refundable.
$75.00
$
75.00
Debit or Credit Card
Credit Card Number
Security Code
Expiration Month
January
February
March
April
May
June
July
August
September
October
November
December
Expiration Month
Expiration Year
2026
2027
2028
2029
2030
2031
2032
2033
2034
2035
2036
2037
2038
2039
2040
2041
2042
2043
2044
2045
Expiration Year
Submit
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