TRANSPORTATION FEES / PAYMENT AGREEMENT:

TRANSPORTATION FEES / PAYMENT AGREEMENT:
The individual student Weekly cost for the Ten month school year of 2021-2022 will be added in the box below. We will provide a 1 month discount of $20 for families with multiple children utilizing bus service.
Bus registration is $50.00 for the entire 2021 – 2022 school year beginning with the first day of school continuing through the last day of the academic school year in the summer of 2022.
Parents are responsible for the full payment of the fees, regardless of the use of the service.

If the number of bus riders does not warrant the costs involved in providing this service it may jeopardize the continuation of transportation service for the remainder of the school year beginning with the 1st of the
following month.
To expedite the payment process we require all payments to be made through

1. Zelle.

2. Website

Payments can be made on Friday no later than Sunday 5Pm for the following week or weeks of services for the bus fees, and will
be reoccurring every Friday Thru Sunday during the term of this Agreement.
Based on individual family needs we can arrange other payment methods.

Failure to make any payment as scheduled may result in your Child/Children not being allowed on the bus.

TERMINATION OF SERVICE:
KIDDY CARPOOL reserves the right to terminate its agreement with an individual family and or the
participants, if weekly payment is not received according to the payment schedule above. Service will be denied
on the 1st day of the week for all students with delinquent accounts. Once payment is received and family
account is current student(s) will be allowed to once again ride the bus.
I/We have read the above terms and conditions and fully understand, consent and agree to abide by all the
conditions and terms of this agreement.
This agreement must be signed by the parents or guardians of the Child/Children named on the registration form
page of this contract.
This is a School Year contract for the whole Fiscal Year of 2021-2022. If for any reason a Parent or Guardian is
unsatisfied with services that are provided by Kiddy Carpool, the matter at hand can be addressed in writing. If
the contract is broken, Client will be responsible for the remaining life of the contract.
Adjustments can be made if discussed beforehand.
Parent/Guardian Name *

First Name Last Name
Date *

Month Day Year
Date
Parent/Guardian Name *

First Name Last Name
Date *

Month Day Year
Date
TO INITIATE SERVICE THE FOLLOWING MUST BE COMPLETED:

1. Completed Child Release Form
2. Transportation Fees / Payment Agreement
3. Termination of Service Form
4. Kiddy Carpool Transportation Application
Should be Empty: