Linden תשב״ר Transportation Application Form 2025 / תשפ"ה

PLEASE NOTE WHEN COMPLETING THIS APPLICATION, YOU MUST PRESS THE

RED “SUBMIT APPLICATION” BUTTON (all the way at the bottom) OTHERWISE THIS WILL NOT BE SUBMITTED

Family Name:*

Fathers Name:*

Mothers Name:*

ביהמ"ד ווי איר דאווענט:

Home Address:*

Home City:*

Home State:*

Home Zip:*

Home Phone #:*

Please enter a valid phone number.

Father’s Cell:*

Please enter a valid phone number.

Mother’s Cell:*

Please enter a valid phone number.

Email Address:*

Emergency Contact Name:*

Emergency #:*

Please enter a valid phone number.

Number of children using transportation:*

FOR EVERY CHILD - PLEASE FILL IN ENTIRE ROW (Scroll to right to complete)*

	Child Name	Boy / Girl	DOB	כתה/Class	School/Yeshiva (Select)	School (Manual ENTRY) if not on list
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PLEASE FILL OUT ENTIRE ROW FOR EACH CHILD (Scroll to right to complete) NOTE: For Boys please fill in Schedule of After Sukkas

	Child Name	Start Time Mon-Fri	End Time Mon-Thu	Start Time Sunday	End Time Sunday	End Time Friday
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Please SELECT routes needed for each child:*

	Child Name	6:10 AM	7:30 AM	4:25 PM	HS Bus 4:35 PM	5:45 PM	8:30 PM	7:30 Bus Choice	4:25 Bus Choice
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Memo/Request To Linden Transportation:

TRANSPORTATION PRICING:

$235 - Monthly Fee (Per Child) Lowered fee from $250 last year
$150 - One Way (Based on Route availability) Lowered fee from $160 last year

Registration Fee: $150

PAYMENT METHOD (REQUIRED) will open separate page

FINANCIAL TERMS:

In order to complete this registration we must have a credit card or ACH Info (electronic check) on file for the monthly payments.
To reserve your spot on our bus, we will be charging in advance the 1st months fee. (non refundable if application is accepted)
Monthly billing will be processed on the 1st of each month.

תשב"ר טראנספארטאציע ווערט אנגעפירט דורך עסקנים שלא ע"מ לקבל פרס לטובת הציבור
די פרייז איז אויסגערעכענט לויט די ערווארטעטע הוצאות, מיר האפן נאך אראפצוברענגען
די קאסטן ווי ווייט מעגליך, אויב וועלן מיר בסייעתא דשמיא מצליח זיין וועט מען אראפנידערן די פרייז
.

Contracts without method of payment cannot be accepted
This transportation contract is a full annual contract even if only used for part of the season.
First Months Fee is Non Refundable (if application is accepted). must be paid before the season start, otherwise we will not accept the application.
We will be charging you for any denied/bounced fees.
By submitting your number, you agree to receive text messages from Linden Tashbar. Message frequency varies. Message and data rates may apply. Carriers are not liable for delayed or undelivered messages. Text HELP for help. Text STOP to opt-out. SMS Policy and Terms: https://www.lindentransport.com/general-5"

I filled out PAYMENT METHOD (On separate link above) REQUIRED*

Yes

Date

I hereby agree to the above terms - Parents Signature (Required)*