School Transportation Registration
Please fill out the following information to register for the school Transport service.
Student's Name
*
First Name
Middle Name
Last Name
Student's School and Grade
*
School Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Parent's Name
*
First Name
Middle Name
Last Name
Parent's Email
*
example@example.com
Parent's Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Address Pick Up
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Address Drop Off (Only if it is different from Pick Up Address)
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Name of person receiving the chile or daycare name(Only if different from parent)
First Name
Last Name
Emergency Contact Name
*
First Name
Last Name
Does your child attend a school in Sterling, VA?
Yes
No
How often do you need transport for the student?
*
Round trip all week.
Only one way in morning all week.
Only one way in afternoon all week
No specific day (Any day)
Student price based on selected transit frequency
*
Round trip all week. $80
One Way all week. $50
Any day. $12
How would you like to make the advance fee?
*
Weekly
Biweekly
Monthly (15% Off)
Total Transport Fee
Total Fee
Submit
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