Bus Booking Form 1. Transport will be provided from Valkstone Primary and Tucker Rd Primary. For additional schools, please contact Leah (subject to demand)2. A JAE staff member will be with the bus to supervise the children.3. Parents undertake to inform LEAH by phone/text before 2 pm on Mondays if their child is away from JAE that day. Failure to notify Leah of your child’s absence in a reasonable timeframe on a consistent basis will result in additional fees being charged.Children will not be permitted on the bus if they are unwell. 4. In the event of a child not arriving to the meet-up spot, we will endeavour to find the child and/or inform the parents that their child has not arrived and they will have to come and collect him/her. 5. Bus fees are separate to JAE fees and will fluctuate from term to term dependent on the precise number of weeks. Bus fees MUST be paid in advance for the entire term. Fathers Name First Name Last Name Father's Work Phone Area Code Phone Number Father's Mobile Area Code Phone Number Mother's Name First Name Last Name Mother's Work Phone Area Code Phone Number Mother's Mobile Area Code Phone Number Contact Email Child 1 name First Name Last Name Child 1 School Child 1 Grade 2025 Child 1 Medical Conditions Child 1 Drug or Food Allergies Child 1 Ongoing Medications Child 2 First Name Last Name Child 2 school Child 2 Grade 2025 Child 2 Medical Conditions Child 2 Drug or Food Allergies Child 2 Ongoing Medications Emergency contact (other than parents) First Name Last Name Home Phone Area Code Phone Number Mobile Area Code Phone Number Relationship I hereby authorise L’Chaim Chabad- Kingston & MHC leaders and staff to obtain any medical care necessary for my child. I understand that in the case of emergency of any significant illness or injury, attempt will be made to contact myself when practical. I agree to pay for any cost that may occur as a result of the injury/illness. I hereby authorise L’Chaim Chabad Kingston & MHC to transport my child from school to the centre by bus or similar. I accept that the centre has the right to refuse entry to my child on the bus (in case of ill behaviour or if they are unwell) and forfeit the remaining fees. I agree to the above declaration. Full Name* First Name Last Name DATE Month Day Year at 123456789101112 Hour001020304050 MinutesAMPM Are you available to be on a roster to meet the children for the bus? Inability to be part of the roster does not preclude using this service. Once a monthOnce in 6 weeksOnce a termI am not available FEES- CREDIT CARD DIRECT DEBIT The cost of the bus is $9 per child per week of term or $16 per 2 children in family per week of term. Fees are charged per term, in advance. There are 8 weeks in term 2, 2025. Amount* 1 Child ($72)2 Children ($128) Payment* Credit Card We accept Visa, MasterCard, American Express Credit Card Number Name on Card1 - January2 - February3 - March4 - April5 - May6 - June7 - July8 - August9 - September10 - October11 - November12 - December Expiration Month2025202620272028202920302031203220332034 Expiration Year Should be Empty: Submit This page uses TLS encryption to keep your data secure.
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