Kids Enroll | Baez Transportation

BAEZ TRANSPORTATIONS

978-885-2961

Child's First name

Child's Last name

Child's Birthday

Month

Day

Year

Parent Phone

Email

Address

School Grade

School or Program Name

Child Will Ride The Bus :

Both AM & PM

Mornings Only

Afternoon Only

Mornings Pick Up Information

Mornings Pick Up Address

Mornings Pick Up Time

Time

HoursMinutes

Mornings Pick Up Contact Person

Mornings Pick Up Phone

Mornings Drop Off Information

Mornings Drop Off Address

Mornings Drop Off Time

Time

HoursMinutes

Mornings Drop Off Contact Person

Mornings Drop Off Phone

Afternoon PickUp Information

Afternoon PickUp Address

Afternoon PickUp Time

Time

HoursMinutes

Afternoon PickUp Contact Person

Afternoon PickUp Phone

Afternoon DropOff Information

Afternoon PickUp Address

Afternoon PickUp Time

Time

HoursMinutes

Afternoon PickUp Contact Person

Afternoon PickUp Phone

Parent Or Guardian Information

Parent or Guardian Name & Last Name

Phone

Home Phone

Work Phone

Emergency Contact

Name & Last Name

Phone

Relation

Medical Information

List Any medical conditions or medications that the bus driver should be aware of :

I authorize Báez Transportation to transport my child from the authorized pickup location (Point A) to the school, childcare center, or authorized drop-off location (Point B), according to the addresses and schedule provided in this application.

I confirm that all information provided is complete and accurate. I agree to immediately notify Báez Transportation of any changes involving addresses,schedules, medical conditions,allergies,emergency contacts,or individuals authorized to receive my child

Báez Transportation may occasionally provide birthday gifts, donuts, candy, or other treats to celebrate my child’s birthday or a classmate’s birthday. Please select one:

YES, I authorize my child to receive birthday gifts, donuts, candy, and other treats.

NO, I do not authorize my child to receive donuts, candy, or other food items.

PHOTOGRAPHY AUTHORIZATION — OPTIONAL

Báez Transportation may take photographs during celebrations, activities, or moments related to its transportation services. Authorized photographs may be published on the company’s website, social media accounts, or promotional materials.

Báez Transportation will not publish the child’s home address, school schedule, medical information, or other private information.

Please select one:

YES, I authorize Báez Transportation to photograph my child and use the photographs on its website, social media accounts, and promotional materials.

NO, I do not authorize Báez Transportation to photograph my child or publish my child’s image.

The decisions regarding photographs, gifts, and food are optional and will not affect my child’s eligibility to receive transportation services.

I confirm that I am the child’s parent or legal guardian. I have read and understood this authorization and electronically agree to the options selected above.

Make Your Payment Now

Round Trip$60

One Way$40

Signature

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BAEZ TRANSPORTATIONS

978-885-2961