Bus Application Form

Please indicate the bus service required for your child by completing and submitting this form.

Students will not be permitted to use the bus service unless a completed form has been submitted and approved by the College.

Date requesting service from: *

Family Name *

Street address *

City *

State *

Postcode *

Mobile (Mother)

Mobile (Father)

IF PICK UP OR DROP OFF IS DIFFERENT FROM THE ABOVE ADDRESS, PLEASE PROVIDE DETAILS BELOW*

PLEASE TICK REQUIRED SERVICE BELOW:

Student Name *

Year Level *

Service wanted

MorningAfternoon

Between Campuses

Cedar to St Joseph AM/PMSt Joseph to Cedar PM ONLY

Bus fees and payment arrangements must be complete and approved by the college prior to use of our bus service.

Parents & Students agree to the Antonine College Bus Expectations Policy and Bus & Coach Policy which are available on PAM.

For any bus enquiries please email bus services on busservices@antonine.catholic.edu.au

Parent/Guardian Signature *

Draw signature|Type signatureClear

Parent/Guardian Name *

Date signed *