Form Jpds Nc PDF Details

The JPDS-NC Bus Enrollment Form for the 2013-2014 academic year is a comprehensive document designed to organize and streamline the transportation needs of students. It outlines various routes parents can select from to ensure their child's safe and timely arrival to and from the Jewish Primary Day School of the Nation's Capital. The form goes beyond merely selecting routes by also offering an inter-campus shuttle service at no extra charge, accommodating families that need to navigate between the school's campuses, designated as "Tzafon" and "Darom." For added convenience, the form collects comprehensive contact information from parents, including cell phone numbers and preferred methods of communication, such as text or email messages. Additionally, the form addresses the logistics of authorized individuals for non-shuttle pick-up, further ensuring the safety and security of the students. It takes into account the various fees associated with bus service, providing clear options for payment and detailing the financial responsibility parents are expected to undertake. Finally, for those opting to use a credit card, the form specifies the process, including an administrative fee, thus encapsulating all necessary steps for parents to facilitate their child's transportation needs for the upcoming school year.

QuestionAnswer
Form NameForm Jpds Nc
Form Length1 pages
Fillable?No
Fillable fields0
Avg. time to fill out15 sec
Other namesJPDS bus enrollment 13 14 jpds nc bus route form

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JPDS-NC

BUS ENROLLMENT FORM 2013-2014

 

SELECT YOUR ROUTE:

ROUTE #1 ROUTE #2

ROUTE #3 ROUTE #4

SHUTTLE ONLY

***SELECT IF NEEDED:

 

 

 

INTER-CAMPUS SHUTTLE-FREE: TZAFON TO DAROM

AM or PM __DAROM TO TZAFON AM or PM

 

 

(SELECT ONE)

(SELECT ONE)

Parent 1 Name: __________________________________ Parent 2 Name: ___________________________________

Parent 1 Cell Number:____________________________ Parent 2 Cell Number: ______________________________

Cell Phone Company: ____________________________ Cell Phone Company: _____________________________

Parent 1 Email Address:___________________________ Parent 2 Email Address:___________________________

- - - - - - - - -

 

 

 

 

 

 

 

 

 

 

 

 

Parent 1:

 

Text Messages Only

Email Messages Only

Both Types are OK

Parent 2:

 

Text Messages Only

Email Messages Only

Both Types are OK

- - - - - - - - -

 

 

 

 

 

 

 

 

 

AUTHORIZED PICK UP PEOPLE (Non-Shuttle only)

 

Child's Name

 

 

 

Grade____

 

 

 

 

 

 

 

If you are only taking the shuttle, type “None”

 

 

 

 

 

 

1. _________________________________________

 

Child’s Name____________________________________Grade____

 

 

Child’s Name____________________________________Grade____

 

2.__________________________________________

- - - - - - - - -

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

AM Bus Stop ____ ___________________

 

 

 

 

 

 

 

 

 

 

 

 

 

 

3. _________________________________________

 

PM Bus Stop ____________________________________________

 

 

 

 

 

Alternate Bus Stop Suggestion:_____________________________________

4. _________________________________________

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Alternate Bus Stop comments:

 

 

 

 

 

 

 

 

 

- - - - - - - - -

 

 

 

 

 

 

 

 

 

 

 

 

FEES

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

MINIMUM BUS FEE and

 

 

 

 

 

 

 

 

 

Round Trip

One Way

After PEP ONLY and non PEP Tuesdays

Occasional Rides

 

$750

$520

 

$100

 

 

 

 

$10

 

 

 

 

______ riders x $ _________ =

>Total = $__________<

TOTAL AMOUNT OWED: $ ___________

Select a Payment Option: ___ Check for Total Amount is Being Mailed (Put “Bus” in the Item Line)

___ Add Total Amount to remaining FACTS Balance

___ Charge Total Amount to Credit Card

___ Shuttle – No Charge

- - - - - - - - - - - - - - - - - - - -

2.5% administrative fee will be added

If Credit Card:

 

Name on Card:__________________________________________ Amount to be charged: $ _________+2.5%

Card Number:___________________________________________ Expiration Date:___________________

Signature:______________________________________________________ Date:___________________

By providing your electronic signature (typing your name in the box above), you give JPDS-NC permission to charge your credit card for the total amount indicated plus the 2.5% administrative fee.

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