www.onthewaypsl.com

Registration Form

Please fill in the form below.
Child Name *

First Name Last Name
Age
Mother Name *

First Name Last Name
Mother Mobile

Area Code Phone Number
Work/other

Area Code Phone Number
Father Name

First Name Last Name
Father Mobile

Area Code Phone Number
Work/other

Area Code Phone Number

Address *

Street Address
Community Name
City	State / Province
Postal / Zip Code	Country

E-mail *
example@example.com
In case of Emergency Call Contact.(Not Parents) *

First Name Last Name Relationship
Phone Number *

Area Code Phone Number
Allergies? *
( If do not have one, write NONE )
School Name *
Grade *
Type of Service *

One Way Pickup Home Pickup School Round Trip
Payment Preferences: *

CASH CHECK VISA MASTER CARD DISCOVERY AMEX
Automatic Credit Card Payment Registration

Request Form.
The expiration date of the service is every Monday
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.
Initial *
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 nome, the week must be paid in full.
Initial *
6. 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 *
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

Month Day Year
Date Date Picker Icon
Should be Empty:

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Registration Form