1. STUDENT DETAILS

2. PARENT / GUARDIAN DETAILS

3. RESIDENTIAL ADDRESS (PICK-UP & DROP)

4. TRANSPORT REQUIREMENTS

5. EMERGENCY CONTACT (OTHER THAN PARENTS, IF POSSIBLE)

6. MEDICAL / SPECIAL INFORMATION

(Conditions, allergies, special needs; attach extra sheet if needed)

7. DECLARATION BY PARENT / GUARDIAN

I request school bus transport for the above student and declare that:

• Information given above is true and correct.
• My child will follow all school bus rules and staff instructions.
• I agree to pay transport fees on time and understand that non-payment may lead to withdrawal of the service.
• I understand routes, stops and timings may be changed by the school if required.
• I accept that the school will take reasonable care but is not responsible for events beyond its control.