Bus Transportation for Summer Camp 2016

Merritt Academy offers bus transportation to children ages four and above for a weekly fee during the summer. The morning route will have your child arrive at Merritt Academy by 8:30 AM. The evening route will have your child leaving Merritt Academy at 3:30 PM.

Please complete the enclosed form and return it to Merritt Academy to the attention of Peter Smith. In order for Merritt Academy to coordinate your child(ren)’s pick-up time for the morning route and the drop-off time for the evening route, requests for bus transportation must be received by Friday, June 3. Applications will be honored on a first come, first served basis. Applications received after Friday, June 3will be honored on space and route availability. Mr. Peter Smith will contact you by email with your scheduled time(s).

Service fees are listed below. Your bus route will be confirmed by Friday, June 17. Once your route is confirmed an invoice will be mailed to you.

Trip Style / First Child / Each Additional Child
Round Trip / $ 92.00 per week / $ 69.00 per week
Morning Route / $ 70.00 per week / $ 52.50 per week
Evening Route / $ 70.00 per week / $ 52.50 per week

Merritt AcademyTransportation Registration

Please Print:

Child(ren) Name(s) & Grade

1.

(First)(Last)(DOB) (Last Grade Completed)

2.

(First)(Last)(DOB) (Last Grade Completed)

3.

(First)(Last)(DOB) (Last Grade Completed)

Pick Up Address:

(Street)

(City)(State)(Zip)

Drop Off Address (If different)

(Street)

(City)(State)(Zip)

Please check off what weeks you will need the bus service

Week #1 / June 20-June 24 / Week #6 / July 25 – July 29
Week #2 / June 27-July 1 / Week #7 / August 1 –August 5
Week #3* / July 5-July 8 / Week #8 / August 8 –August 12
Week #4 / July 11-July 15 / Week #9 / August 15-August 19
Week #5 / July 18 – July 22 / Week #10** / August 22-August 24

One Way: (please circle) Morning- arrives by 8:45am OR Afternoon - departs at 3:30pm

Round Trip:arrives at campus by 8:45am, departs campus at 3:30pm

*Merritt Academy is closed Friday, July 3rd

**Week 10 is for Merritt Academy students only

Billing Information

Parent(s) name: ______

Home address:______
Phone number:______

Email address:______

For Office Use Only

Invoice Sent on:

(# of weeks) X (Route type) = (Total)

Merritt AcademyTransportation Contact Information

Please fill out the information below so thebus driver may contact you.

Mother/Guardian Name:

(First)(Last)

Home Phone #:

Work Phone #:

Cell Phone #:______

E-mail address:

Best way to contact you? ______

Home address:

Father/Guardian Name:

(First)(Last)

Home Phone #:

Work Phone #:

Cell Phone #:

E-mail address:

Best way to contact you?

Home address: