Demand Response School

Name of Parent/Guardian(Required)

First Last

Home Address(Required)

Street Address City

Mailing Address & City (if different from above)

Street Address City

Phone Number(Required)

Email(Required)

Parent's Place of Employment(Required)

Parent's Work Number(Required)

Emergency Contact Name(Required)

Emergency Contact Phone Number(Required)

1st Student Name

1st Date of Birth

1st Name of School

Tripper Services

Both

2nd Student Name

2nd Date of Birth

2nd Name of School

Tripper Services

Both

3rd Student Name

3rd Date of Birth

3rd Name of School

Tripper Services

Both

4th Student Name

4th Date of Birth

4th Name of School

Tripper Services

Both

5th Student Name

5th Date of Birth

5th Name of School

Tripper Services

Both

My student(s) will be picked up in the morning from:(Required)

(Address)

My student(s) will be dropped off after school at:(Required)

(Address)

Payment

Subscription Routes are assured a seat for the duration of the school year. Fares are $2 a day ($10.00 per week) for each passenger that will ride to and from the same location on a daily, Monday-Friday basis. These weekly rates are standard regardless of the number of days per week the passenger rides or if passenger rides only one way per day. *NO REFUNDS OR CREDITS* Passenger fares must be paid in advance prior to the date of service to avoid administrative (late) fees. An additional $1.00 per day will be added to trips that are not paid in advance. Passengers who accumulate 5 unpaid emergency trip charges will NOT be allowed to ride until the balance due is paid in full.

Demand School Transportation

Payment

There will no longer be a discounted rate for SPCAA employees

Spartan

Services

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Demand Response School

Demand School Transportation

Payment

*There will no longer be a discounted rate for SPCAA employees*

There will no longer be a discounted rate for SPCAA employees