Youth Related Transportation Payment Form

2. Youth Related Transportation SY 2017 - 2018
   Please complete the following form to secure a seat for transportation with Alamo Regional Transit (ART). The payment options are for the full school year only. Please fill out the following form and select a payment option in order to secure your child's seat on the ART bus.

   Please complete the following form to secure a seat for transportation with Alamo Regional Transit (ART). The payment options are for the full school year only. Please fill out the following form and select a payment option in order to secure your child's seat on the ART bus.

3. 

5. Child Information

7. Child 1 First Name:*

8. Child 1 Last Name:*

10. Grade:*

11. Teacher's Name:*

12. Start Date:*
    Start Date:

13. End Date:*
    End Date:

15. School Name:*

16. School Start Time:*
    School Start Time:

17. School End Time:*
    School End Time:

19. Morning Pick-up Location:

    Address (Street Number and Name, City, State, and Zip)

20. Morning Drop-off Location:

    Address (Street Number and Name, City, State, and Zip)

22. Afternoon Pick-up Location:

    Address (Street Number and Name, City, State, and Zip)

23. Afternoon Drop-off Location:

    Address (Street Number and Name, City, State, and Zip)

25. Child 2 First Name:

26. Child 2 Last Name:

28. Grade:

29. Teacher's Name:

30. Start Date:
    Start Date:

31. End Date:
    End Date:

33. School Name:

34. School Start Time:
    School Start Time:

35. School End Time:
    School End Time:

37. Morning Pick-up Location:

    Address (Street Number and Name, City, State, and Zip)

38. Morning Drop-off Location:

    Address (Street Number and Name, City, State, and Zip)

40. Afternoon Pick-up Location:

    Address (Street Number and Name, City, State, and Zip)

41. Afternoon Drop-off Location:

    Address (Street Number and Name, City, State, and Zip)

43. Child 3 First Name:

44. Child 3 Last Name:

46. Grade:

47. Teacher's Name:

48. Start Date:
    Start Date:

49. End Date:
    End Date:

51. School Name:

52. School Start Time:
    School Start Time:

53. School End Time:
    School End Time:

55. Morning Pick-up Location:

    Address (Street Number and Name, City, State, and Zip)

56. Morning Drop-off Location:

    Address (Street Number and Name, City, State, and Zip)

58. Afternoon Pick-up Location:

    Address (Street Number and Name, City, State, and Zip)

59. Afternoon Drop-off Location:

    Address (Street Number and Name, City, State, and Zip)

63. Parent / Guardian Information

65. Parent / Guardian First Name:*

66. Parent / Guardian Last Name:*

68. Email Address:*

69. Phone #:*

70. Secondary Phone #:

72. Physical Address:*

73. City, State, and Zip:*

75. Mailing Address:

    If different from physical address

76. City, State, and Zip:

78. County:*
    -- Select One --ComalGillespieGuadalupeKendallKerrMedina

    County in which school is located.

82. In Case of Emergency
    In case of incident or emergency, who can your child be released to?

    In case of incident or emergency, who can your child be released to?

84. First Name:*

85. Last Name:*

86. Phone #:*

88. First Name:

89. Last Name:

90. Phone #:

94. Rules for Riding
    <ul> <li>The parent/guardian understands and agrees that under no circumstances is Alamo Regional Transit or Alamo Area Council of Governments liable for any accidents, incidents or losses. Parent/Guardian further agrees to hold harmless all employees of Alamo Regional Transit or Alamo Area Council of Governments and to indemnify them from any findings pursuant to this contract <li>The Alamo Regional Transit service is not part of the local Independent School District Transportation program; therefore the School District cannot endorse or approve our service <li>Children will only be taken to and/or picked up from the pre-determined origin and destination agreed by the parent/guardian and ART <li>The ART driver will wait no longer than five (5) minutes after the agreed upon pick-up time <li>Only the children listed on the Driver’s Log will be allowed to ride <li>Parent/Guardian will ensure that a responsible party is at the drop off location to meet the child when the ART vehicle arrives. ART will drop-off the child at the drop off location and will not be verifying that a person is there to receive the child <li>Children are defined as unaccompanied passengers between the ages of 5 and 18 <li>No eating or drinking is allowed in the vehicle <li>Children must sit in their seat and wear their safety belt securely around their waist at all times <li>For safety reasons, children must keep all personal items (including toys) in their book bag on their lap <li>Children should not distract the driver while the vehicle is in motion <li>Disciplinary issues, based on severity, may be resolved in the following manner: </ul> <ul> <DD><li>Letter will be sent to the parent/guardian <DT><li>Conference with Area Supervisor, Driver and Parent(s) <li>Termination of transportation privileges </ul> </ul> <br> Alamo Regional Transit reserves the right to cancel this agreement by giving said party thirty (30) days written notice.

    • The parent/guardian understands and agrees that under no circumstances is Alamo Regional Transit or Alamo Area Council of Governments liable for any accidents, incidents or losses. Parent/Guardian further agrees to hold harmless all employees of Alamo Regional Transit or Alamo Area Council of Governments and to indemnify them from any findings pursuant to this contract
    • The Alamo Regional Transit service is not part of the local Independent School District Transportation program; therefore the School District cannot endorse or approve our service
    • Children will only be taken to and/or picked up from the pre-determined origin and destination agreed by the parent/guardian and ART
    • The ART driver will wait no longer than five (5) minutes after the agreed upon pick-up time
    • Only the children listed on the Driver’s Log will be allowed to ride
    • Parent/Guardian will ensure that a responsible party is at the drop off location to meet the child when the ART vehicle arrives. ART will drop-off the child at the drop off location and will not be verifying that a person is there to receive the child
    • Children are defined as unaccompanied passengers between the ages of 5 and 18
    • No eating or drinking is allowed in the vehicle
    • Children must sit in their seat and wear their safety belt securely around their waist at all times
    • For safety reasons, children must keep all personal items (including toys) in their book bag on their lap
    • Children should not distract the driver while the vehicle is in motion
    • Disciplinary issues, based on severity, may be resolved in the following manner:

    Letter will be sent to the parent/guardian
    Conference with Area Supervisor, Driver and Parent(s)
    Termination of transportation privileges

    
    Alamo Regional Transit reserves the right to cancel this agreement by giving said party thirty (30) days written notice.

96. For a printable version of the Rules for Riding, please click the link below.
    Rules for Riding

100. Payment/Transportation Options

102. Options:*

     1. Afterschool Only - $270.00
     2. Afterschool Only - Out of County - $1,350.00

     1. Before School Only - $270.00
     2. Before School Only - Out of County - $1,350.00

     1. Before & Afterschool - $540.00
     2. Before & Afterschool - Out of County - $2,700.00

     Please select the transportation service that you will need for your child/children, then input how many children will be using the service.

104. Number of Children*

105. Payments

     Transportation / Payment Options

106. Shipping Cost

107. Taxable

109. A processing fee will be added to process credit card payments.

     A processing fee will be added to process credit card payments.

113. By checking the box below you agree that everything on the form is correct and you have read and understand the Rules for Riding.*

     1. I Agree

115. First Name*

116. Last Name*

117. Date*
     Date

Leave This Blank:


118. Calculate Totals Proceed to Checkout

* indicates a required field