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Single Trip Pass
$
6.00
Single Trip Passes allow your student to ride ONE WAY
Pass can be used on any day
You may purchase multiple passes
$
Student First Name
*
Student Last Name
Buy in bundles
Check this box to buy Pass quantities in bundle
Quantity
select
5 for $30
10 for $60
15 for $90
20 for $120
Grade
*
K
1
2
Service Requested
*
AM ONLY
PM ONLY
Location
School
Route
Bus Stop
Alternate Bus Stop
Home Address
*
Emergency Phone Number
*
Parent Email address
*
Initials
*
My initials indicate my child has permission to ride the bus and use the bus stops listed and that my child will follow the Bus Rules and Safety Information sheet. Failure to follow the rules may result in suspension or expulsion. I accept all responsibility for the transportation of my child to and from the bus stops. I understand and agree that the Lamorinda School Bus Transportation Agency (LSBTA) does not provide supervision while waiting at the bus stop. I hereby release on behalf of myself and my child and agree to hold the LSBTA harmless from any liability or responsibility for injuries or damage arising out of or related to the use of the bus service.
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