Bus Information

Bus Fees

Bus information and application

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Parent/Carer Name (first and last)

Second Parent/Caregiver Name (first and last)

Address

Suburb and Postcode

Parent/Carer Phone Number

Student 1: Name, Age, Year Level

Student 2- Name, Age, Year Level

Student 3: Name, Age, Year Level

Student 4: Name, Age, Year Level

Medical conditions the bus driver needs to be aware of

Action to be taken

Emergency Contact Name

Emergency Contact Number

Daily Bus Usage

Monday AM

Monday PM

Tuesday AM

Tuesday PM

Wednesday AM

Wednesday PM

Thursday AM

Thursday PM

Friday AM

Friday PM

Authorisation Name

Email address

Bus Authorisation

I/we have read the Bus Rules and Regulations and agree to the terms and conditions

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Bus Agreement

+61 75593 4571