Returning Students Bussing Form *Denotes Required Field * Title CCS Bus Registration Form for CCS families living in Moose Jaw. CCS Bus Service provides two-way service or one-way service (either morning or afternoon), and we do provide bus service for Preschool morning only pick-up provided that the child is accompanied by an older child (Grade 4 and up). Preschool parents are responsible for lunch time pick-ups. Any rural CCS families with Kindergarten to Grade 12 students, within PSSD boundaries, that are new or have children not previously on the PSSD bus, please contact the office at registration@ccsmj.ca for the PSSD Rural Bus form. If you have any questions or concerns about the CCS Bus form/process, please contact the office at registration@ccsmj.ca. * Parent 1 First Name: * Parent 1 Last Name: * Parent 1 Email (response email will be sent to this email): * Parent 1 Cell Phone Number: Parent 2 First Name: Parent 2 Last Name: Parent 2 Email: Parent 2 Cell Phone Number: * CCS Bus Service Required: Morning Pick-Up and Afternoon Drop-Off Morning Only Pick-Up Afternoon Only Drop-Off * Location for Morning Pick-Up and Afternoon Drop-Off : * Phone Number for Morning Pick-Up and Afternoon Drop-Off : * Additional comment: Is this location Home, Daycare, Grandparents, etc. * Location for Morning Only Pick-Up: * Phone Number for Morning Only Pick-Up : * Additional Comment: Is this location Home, Daycare, Grandparents, etc. * Location for Afternoon Only Drop-Off: * Phone Number for Afternoon Only Drop-Off: * Additional comment: Is this location Home, Daycare, Grandparents, etc. Will you need a 2nd location pick-up/drop-off? There is a $35 fee for a 2nd location. Yes No 2nd Location Bus Service Required: Morning Pick-Up and Afternoon Drop-Off Morning Only Pick-Up Afternoon Only Drop-Off 2nd Location Address: 2nd Location Phone Number: Additional comments: Daycare, Grandparents, other parent (one week mom, one week dad), etc. * Child 1 First Name * Child 1 Last Name * Child 1 Grade September Please select an option Preschool Age 3 before September 1 - Must be accompanied by an older child, Grade 4 and up. Preschool Age 4 by December 31- Must be accompanied by an older child, Grade 4 and up. Kindergarten Age 5 by December 31 Grade 1 Grade 2 Grade 3 Grade 4 Grade 5 Grade 6 Grade 7 Grade 8 Grade 9 Grade 10 Grade 11 Grade 12 * Additional Children Yes No * Child 2 First Name * Child 2 Last Name * Child 2 Grade in September Please select an option Preschool Age 3 before September 1 - Must be accompanied by an older child, Grade 4 and up. Preschool Age 4 by December 31- Must be accompanied by an older child, Grade 4 and up. Kindergarten Age 5 by December 31 Grade 1 Grade 2 Grade 3 Grade 4 Grade 5 Grade 6 Grade 7 Grade 8 Grade 9 Grade 10 Grade 11 Grade 12 * Additional Children Yes No * Child 3 First Name * Child 3 Last Name * Child 3 Grade in September Please select an option Preschool Age 3 before September 1 - Must be accompanied by an older child, Grade 4 and up Preschool Age 4 by December 31- Must be accompanied by an older child, Grade 4 and up. Kindergarten Age 5 by December 31 Grade 1 Grade 2 Grade 3 Grade 4 Grade 5 Grade 6 Grade 7 Grade 8 Grade 9 Grade 10 Grade 11 Grade 12 * Additional Children Yes No * Child 4 First Name * Child 4 Last Name * Child 4 Grade in September Please select an option Preschool Age 3 before September 1 - Must be accompanied by an older child, Grade 4 and up. Preschool Age 4 by December 31- Must be accompanied by an older child, Grade 4 and up. Kindergarten Age 5 by December 31 Grade 1 Grade 2 Grade 3 Grade 4 Grade 5 Grade 6 Grade 7 Grade 8 Grade 9 Grade 10 Grade 11 Grade 12 * Additional Children Yes No * Child 5 First Name * Child 5 Last Name * Child 5 Grade in September Please select an option Preschool Age 3 before September 1 - Must be accompanied by an older child, Grade 4 and up. Preschool Age 4 by December 31- Must be accompanied by an older child, Grade 4 and up. Kindergarten Age 5 by December 31 Grade 1 Grade 2 Grade 3 Grade 4 Grade 5 Grade 6 Grade 7 Grade 8 Grade 9 Grade 10 Grade 11 Grade 12 * Additional children Yes No * Child 6 First Name * Child 6 Last name * Child 6 Grade in September Please select an option Preschool Age 3 before September 1 - Must be accompanied by an older child, Grade 4 and up. Preschool Age 4 by December 31- Must be accompanied by an older child, Grade 4 and up. Kindergarten Age 5 by December 31 Grade 1 Grade 2 Grade 3 Grade 4 Grade 5 Grade 6 Grade 7 Grade 8 Grade 9 Grade 10 Grade 11 Grade 12 BUS FEE PAYMENT SCHEDULE: Early Payment by August 20 Single Payment by September 30 Monthly Payment (September to June) * How will you be paying the CCS Bus fees? (Any NSF/declines on cheques, PAD will be charged a $25 fee.) Please select an option early payment by August 20 by etransfer to payables@ccsmj.ca early payment by August 20 at the office by cash, cheque, or debit single payment by September 30 by etransfer to payables@ccsmj.ca single payment by September 30 at the office by cash, cheque or debit monthly payments by etransfer to payables@ccsmj.ca monthly payments by PAD on the 1st of each month monthly payments by PAD on the 20th of each month bi monthly payments by PAD on the 1st and the 20th of each month Other: Grandparent, Family Friend, etc. Through this Bus Registration Form and by clicking on the box at the end that "Our family agrees to the above terms" and signing in the signature box, indicates your commitment and that you agree to pay the full bus fees owed for the school year (September through June). Bus Fee refunds will be made for students of families that move outside the school area and transportation to CCS is no longer feasible. Proof of address change must be provided to the business office. Withdrawal fees are outlined below and are due at the time of withdrawal. BUS FEE WITHDRAWAL FEES -- Two weeks’ notice is required with any withdrawal. PRESCHOOL TO GRADE 12 Up to August 20: No Withdrawal Fee August 21 to September 30: September’s Fee plus 1/2 month's fee October 1 to June 30: Current month's fee plus 1/2 month's fee * Our family agrees to the above terms * Please sign below. Use your finger or mouse to sign in this box. Clear Signature
