www.onthewaypsl.com

Registration Form

Please fill out one form per child.
Child's name*

First NameLast Name
Age*
Age
School Name*
Grade*
Mother's name*

First NameLast Name
Mother's DOB:*

MonthDayYear
Date
Driver License or I.D Number*
Mother
Mother's mobile number*

Area CodePhone Number
Work/other

Area CodePhone Number
Father's name*

First NameLast Name
Father's DOB:*

MonthDayYear
Date
Driver License or I.D Number*
Father
Father's mobile number*

Area CodePhone Number
Work/other

Area CodePhone Number
Address*

Street Address 1

Street Address 2

CityState / Province

Postal / Zip Code
Community Name / Gate Code
( If it doesn't apply, write NONE )
E-mail*
example@example.com
In case of Emergency Call Contact.(Not Parents)*

First NameLast Name Relationship
Phone Number*

Area CodePhone Number
Allergies?*
( If do not have one, write NONE )
Type of Service*

Pickup amPickup pmRound Trip
Comments:

1. The undersigned hereby agrees to make a weekly payments to ON THE WAY PRIVATE SCHOOL TRANSPORTATION SERVICES, for transportation services for my child named on this form, with the purpose and convenience of no worries of taking and picking up my child from school
Initial *
2. The company requires a week deposit in advance. The value of the deposit is determined according to the area and type of service.
Initial *
3. This is based on a weekly service, it is not a contract and be canceled at any time within a 15 day notice. If we don't receive the 15 day notice the deposit will be non-refundable. The deposit can be used for the last week of service.
Initial *
4. ON THE WAY PRIVATE SCHOOL TRANSPORTATION SERVICES, works every day of the school calendar, our service must be paid weekly. Your payment is due every Monday. All payments made after Wednesday of the same week will be charged a $5.00 late fee. (if your credit card is declined). At the end of the week your service will be suspended
Full Name*
Agree
5. ON THE WAY PRIVATE SCHOOL TRANSPORTATION SERVICES, works every day of the school calendar, our service must be paid in full, whether your child attends only 1,2,3 days or none, the week must be paid in full.
Full Name*
Agree
6. I understand if I have an unpaid balance to ON THE WAY PRIVATE SCHOOL TRANSPORTATION SERVICE and do not make satisfactory payment arrangements, my account may be placed with an external collection agency. I will be responsible for reimbursement of the fee of any collection agency, which may be based on a percentage at a maximum of 35% of the debt, and all costs and expenses, including reasonable collection and attorney’s fees incurred during collection efforts.
Full Name*
Agree
7. In order for ON THE WAY PRIVATE SCHOOL TRANSPORTATION SERVICE or their designated external collection agency to service my account, and where not prohibited by applicable law, I agree that ON THE WAY PRIVATE SCHOOL TRANSPORTATION SERVICE and the designated external collection agency are authorized to (i) contact me by telephone at the telephone number(s) I am providing, including wireless telephone numbers, which could result in charges to me, (ii) contact me by sending text messages (message and data rates may apply) or emails, using any email address I provide and (iii) methods of contact may include using pre-recorded/artificial voice message and/or use of an automatic dialing device, as applicable.
Initial *
8. Notifications you must inform ON THE WAY PRIVATE SCHOOL TRANSPORTATION SERVICES, when your child is not attending school or if you pick up your child before the regular release time.(Medical appointments, illness or other)
Initial *
9. Disputing with Credit Card Company any transaction for service provided, without prior confirmation with our billing department, will result in automatic cancellation of service.
Initial *
10. ON THE WAY PRIVATE SCHOOL TRANSPORTATION SERVICES, Our routes normally leave school at the same time every day, but there may be delays of up to 30 minutes. The route cannot leave the school until confirming that all children are in the vehicle.
Full Name*
Agree
11. ON THE WAY PRIVATE SCHOOL TRANSPORTATION SERVICES, In case of mechanical problems in any of our units, we will contact you, only if the route will be late for more than 30 minutes.
Full Name*
Agree

12. WAIVER AND RELEASE OF LIABILITY
ON THE WAY PRIVATE SCHOOL TRANPOSRTATION SERVICE

In consideration of the risk of injury while participating in Door to Door Service from home to school or school to home, Field Trip, sport trip (the "Activity"), and as consideration for the right to participate in the Activity, I hereby, for myself, my heirs, executors, administrators, assigns, or personal representatives, knowingly and voluntarily enter into this waiver and release of liability and hereby waive any and all rights, claims or causes of action of any kind whatsoever arising out of my participation in the Activity, and do hereby release and forever discharge On The Way Private School Transportation Service, their affiliates, managers, members, agents, attorneys, staff, volunteers, heirs, representatives, predecessors, successors and assigns, for any physical or psychological injury, including but not limited to illness, paralysis, death, damages, economical or emotional loss, that I may suffer as a direct result of my participation in the aforementioned Activity, including traveling to and from an event related to this Activity.
Full Name*
Agree
Start Date

MonthDayYear
Date
12.1 I AM VOLUNTARILY PARTICIPATING IN THE AFOREMENTIONED ACTIVITY AND I AM PARTICIPATING IN THE ACTIVITY ENTIRELY AT MY OWN RISK. I AM AWARE OF THE RISKS ASSOCIATED WITH TRAVELING TO AND FROM AS WELL AS PARTICIPATING IN THIS ACTIVITY, WHICH MAY INCLUDE, BUT ARE NOT LIMITED TO, PHYSICAL OR PSYCHOLOGICAL INJURY, PAIN, SUFFERING, ILLNESS, DISFIGUREMENT, TEMPORARY
OR PERMANENT DISABILITY (INCLUDING PARALYSIS), ECONOMIC OR EMOTIONAL LOSS, AND DEATH. I UNDERSTAND THAT THESE INJURIES OR OUTCOMES MAY ARISE FROM MY OWN OR OTHER'S NEGLIGENCE, CONDITIONS RELATED TO TRAVEL, OR THE CONDITION OF THE ACTIVITY LOCATION(S). NONETHELESS, I ASSUME ALL RELATED RISKS, BOTH KNOWN OR UNKNOWN TO ME, OF MY PARTICIPATION IN THIS ACTIVITY, INCLUDING TRAVEL TO, FROM AND DURING THIS ACTIVITY

I agree to indemnify and hold harmless On The Way Private School Transportation Service, against any and all claims, suits or actions of any kind whatsoever for liability, damages, compensation or otherwise brought by me or anyone on my behalf, including attorney's fees and any related costs, if litigation arises pursuant to any claims made by me or by anyone else acting on my behalf. If On The Way Private School Transportation Service, incurs any of these types of expenses I agree to reimburse On The Way Private School Transportation Service.

I acknowledge that On The Way Private School Transportation Service, and their directors, officers, volunteers, representatives and agents are not responsible for errors, omissions, acts or failures to act of any party or entity conducting a specific event or activity on behalf of On The Way Private School Transportation Service.
Full Name*
Agree
Start Date

MonthDayYear
Date

12.2 I ACKNOWLEDGE THAT THIS ACTIVITY MAY INVOLVE A TEST OF A PERSON'S PHYSICAL AND MENTAL LIMITS AND MAY CARRY WITH IT THE POTENTIAL FOR DEATH, SERIOUS INJURY, AND PROPERTY LOSS.
The risks may include, but are not limited to, those caused by terrain, facilities, temperature, weather, lack of hydration, condition of participants, equipment, vehicular traffic and actions of others, including but not limited to, participants, volunteers, spectators, coaches, event officials and event monitors, and/or producers of the event.

I ACKNOWLEDGE THAT I HAVE CAREFULLY READ THIS "WAIVER AND RELEASE" AND FULLY UNDERSTAND THAT IT IS A RELEASE OF LIABILITY. I EXPRESSLY AGREE TO RELEASE AND DISCHARGE ON THE WAY PRIVATE SCHOOL TRANSPORTATION SERVICE, AND ALL OF ITS AFFILIATES,
Full Name*
Agree
Start Date

MonthDayYear
Date
13. WAIVER AND RELEASE OF LIABILITY
ON THE WAY PRIVATE SCHOOL TRANPOSRTATION SERVICE

MANAGERS, MEMBERS, AGENTS, ATTORNEYS, STAFF, VOLUNTEERS, HEIRS, REPRESENTATIVES, PREDECESSORS, SUCCESSORS AND ASSIGNS, FROM ANY AND ALL CLAIMS OR CAUSES OF ACTION AND I AGREE TO VOLUNTARILY GIVE UP OR WAIVE ANY RIGHT THAT I OTHERWISE HAVE TO BRING A LEGAL ACTION AGAINST ON THE WAY PRIVATE SCHOOL TRANSPORTATION SERVICE, FOR PERSONAL INJURY OR PROPERTY DAMAGE. To the extent that statute or case law does not prohibit releases for negligence, this release is also for negligence on the part of On The Way Private School Transportation Service, its agents, and employees. In the event that I should require medical care or treatment, I agree to be financially responsible for any costs incurred as a result of such treatment. I am aware and understand that I should carry my own health insurance.
Full Name*
Agree
Start Date

MonthDayYear
Date

13.1 In the event that any damage to equipment or facilities occurs as a result of my or my family's willful actions, neglect or recklessness, I acknowledge and agree to be held liable for any and all costs associated with any actions of neglect or recklessness.

This agreement was entered into at arm's-length, without duress or coercion, and is to be interpreted as an agreement between two parties of equal bargaining strength. Parent or Guardian {mothersName}{fathersName}of Children's {childsName} and ON THE WAY PRIVATE SCHOOL TRANSPORATION SERVICE, agree that this agreement is clear and unambiguous as to its terms, and that no other evidence will be used or admitted to alter or explain the terms of this agreement, but that it will be interpreted based on the language in accordance with the purposes for which it is entered into. In the event that any provision contained within this Release of Liability shall be deemed to be severable or invalid, or if any term, condition, phrase or portion of this agreement shall be determined to be unlawful or otherwise unenforceable, the remainder of this agreement shall remain in full force and effect, so long as the clause severed does not affect the intent of the parties. If a court should find that any provision of this agreement to be invalid or unenforceable, but that by limiting said provision it would become valid and enforceable, then said provision shall be deemed to be written, construed and enforced as so limited.

I, THE UNDERSIGNED PARTICIPANT, AFFIRM THAT I AM OF THE AGE OF 18 YEARS OR OLDER, AND THAT I AM FREELY SIGNING THIS AGREEMENT. I CERTIFY THAT I HAVE READ THIS AGREEMENT, THAT I FULLY UNDERSTAND ITS CONTENT AND THAT THIS RELEASE CANNOT BE MODIFIED ORALLY. I AM AWARE THAT THIS IS A RELEASE OF LIABILITY AND A CONTRACT AND THAT I AM SIGNING IT OF MY OWN FREE WILL.
Please enter your Name if you agree with the terms and conditions of ON THE WAY PRIVATE SCHOOL TRANSPORTATION SERVICES.
Full Name*
Agree
Start Date

MonthDayYear
Date
Should be Empty:

Registration Form