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