Catholic Memorial Transportation Application
Please Note: Students being dropped off at stops other than MBTA Commuter rail stops who do not have a parent or other responsible party picking them up will be driven to the next stop after a wait time of 5 minutes. Local Motion has been instructed to return students to CM if a parent or other responsible party pick up is not secured at the dropoff location.
$750 due with Application. Make checks payable to Catholic Memorial.
Round trip riders will be invoiced the $500 balance in November.
Bus # __________(See list of routes attached)
Select either Round Trip or One Way Service (One Way Service: please indicate morning or afternoon)
Round Trip_____ One Way_____ (One way circle: Morning Afternoon (includes late bus))
Desired pickup/dropoff location: ____________________________
Student Name: _________________________
2008/09 Grade:____________
I have read and understand the Rules and Regulations of the CM Transportation Service.
Signature of Parent/Guardian____________________________________________
Address:
Street: ____________________________________________
Town: ____________________________________________
Zip Code: _______________
Phone Numbers to reach parents:
Home: ______________________
Work: ______________________
Cell: _______________________
Return complete application and $750 to:
Catholic
Memorial School
Business Office
235 Baker Street
West
Roxbury, MA 02132