LSBP Annual Bus Pass 2017-2018

Lafayette & Moraga Registration Form
 
Please review your student's school bus schedule before registering as there have been many changes. Please complete and submit one form per student.  Proceed to check out after the last student. * Items are required
Did this student ride the bus last year? *
Please enter as listed on Bus Schedule (e.g. Condit @ Windsor)
Most students do not need an alternate bus stop.  Fill out only if your student uses two different stops on the same route.

PARENT INFORMATION
 First & Last Name
Enter as 000-000-0000.  With a cell number you're eligible for TEXT messaging re: late buses.


AUTHORIZED PERSON

Please authorize up to three persons (other than parents) to accept your student in case of emergency.
K and 1st grade students must be met by a parent or other authorized person.

DISABILITY OR MEDICAL CONDITION

Does this student have a disability or medical condition?  If yes, please explain.
Disability? *
0/255 characters

COMMENTS AND SIGNATURE
0/255 characters
My initials indicate my child has permission to ride the bus and use the bus stops listed and that my child will follow the Bus Rules. Failure to follow the rules may result in suspension or expulsion. I authorize the use of my cell number to receive TEXT messages re: late buses. I understand I may opt out of this service at any time.  I accept all responsibility for the transportation of my child to and from the bus stops.  I understand and agree that the Lamorinda School Bus Transportation Agency (LSBTA) does not provide supervision while waiting at the bus stop. I hereby release on behalf of myself and my child and agree to hold the LSBTA harmless from any liability or responsibility for injuries or damage arising out of or related to the use of the bus service. 

ADDITIONAL STUDENTS
Additional Student? *