Your Name * Your Email * Subject Your Message Parent/Custodian Name (required) Apartment Email Address Phone (Home) xxx-xxx-xxxx Phone (Cell) xxx-xxx-xxxx Phone (Work) xxx-xxx-xxxx Address Postal Code (required) Major Intersection (required) Student's Name (required) Entering Grade (September, 2021) (required) 9101112 Medical Condition Payment Full Fee: $3,157.00 + HST Due with registration Installments: * $300.00 non-refundable registration fee due with registration* Three Payments of $952.33 + HST Due April 30, May 30 & June 30/2021 Method of Payment (Please check one) *Please note all credit cards will be charged an additional 2%* *Make cheques payable to Next Stop School Busing* CashChequeVisaMaster CardE-Transfer