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, 2020) (required) 9101112 Medical Condition Are you able to drive your child to a group pick up? If the answer is YES, you may qualify for a savings of 15% to families that drive their child to an AM/morning group pick up. Spots are limited for families who qualify and would like to take advantage of this amazing offer! Yes - I am interestedNo - I am not interested Payment Full Fee: $1,931.68 + HST Due with registration" 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 Contact Information P.O. Box 71120 Maplehurst Burlington, ON L7T 1J9 info@nextstopbusing.com 905 565 7083