2019-2020 Short Street Campus Bus Registration

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Email *

Parent/Guardian Name *

Address *

Primary contact email address *

Guardian One's Name *

Guardian One's Contact Phone Number *

Guardian Two's Name

Guardian's Two's Contact Number

What is the best number to call in the event of an emergency with the bus? *

Student Information

Child One's Name *

Child One's Grade *

Child's Two Name

Child Two's Grade

Child Three's Name

Child Three's Grade

Child Four's Name

Child Four's Grade

Services & Fees

Please Indicate the service you will be using. A $20 Annual Start-up Fee is charged per child in addition to the fees listed below

Option #1 - Afternoon transportation to Lexington Catholic High School/SPPS - $30/month/child

Option #2 - Transportation to/from Paris/SPPS - $75/month/child

Option #3 - Transportation to/from Lexington Catholic High School/Paris - $75/month/child

Option #4 - Transportation to/from Hamburg Lowes/SPPS - $60/month

Option #5 - Drop-in Rate - $10/day/child

Notes: If your child(ren) will only utilize the bus service at certain times during the year, please indicate below when your child will need service i.e. LCHS soccer, football, cheer practice.

I have reviewed the rules and regulations with my child(ren) and we understand and agree with them. A copy of the rules of the regulations can found at sppslex.org, clicking on "Student Life" and "Bus Information". *

Yes, I agree to the rules and regulations of riding the SPPS bus

Required

By entering your initials below, you are effectively providing your signature, indicating that all the information on this form is true and accurate, to the best of your knowledge *

A copy of your responses will be emailed to the address you provided.

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