Transportation Agreement

1
Passenger Name
First Name
Last Name
2
Parent Name
First Name
Last Name
3
Phone Number
Area Code
Phone Number
4
Name of school
Kamehameha III
Princess Nahienaena
Sacred Hearts
5
When is your first pick-up day?* This field is required.Select your start date for After School Music Club
Date
Month
Day
Year
6
ASMC Transportation

Maui Music Mission considers the safety and well being of your keiki members to be our highest priority.

• Transportation provided from select schools to Maui Music Mission.

• Students go directly to pick-up spot to meet the bus (van).

**students who miss the bus will need to call a parent for a ride.

Maui Music Green T-shirt is REQUIRED! Put on immediately when school dismisses so that school staff may easily recognize our members.

• One way only.
7
TRANSPORTATION CONDUCT AGREEMENT

1. Member must show courtesty to all other passengers, school staff, and driver

2. Courteous behaviors means we treat thers as we would have them treat us.

3. Discourteous behaviors will be reported to parents

4. Second report to parents may result in discontinuationof service for the member

5. There are no refunds for any reason, even if member is otherwise unable to attend.
8
Transportation Agreement. I agree to the terms and give permission to Maui Music Mission to transport my child. I further agree to hold Maui Music Mission and its affiliates HARMLESS OF LIABILITY in any and all circumstances regarding the transportation and supervision of my child. *SEE ATTACHED LIABILITY RELEASE FORM.
9
I agree to the terms of the Transportation Agreement* This field is required.
Clear
Should be Empty: