Regional School Bus Transportation Registration

Assignments will be processed based on seat availability.
The registration deadline is May 31, 2012. Seats are assigned on a First Come, First Serve basis and not guaranteed.
* Authorization and/or Information is Required

Parent/Guardian Information

* First Name
* Last Name
* Relationship
* Street
* City
* Zip
Email #1
Email 1 Type
Email #2
Email 2 Type
* Phone #1
Phone 1 Type
Phone #2
Phone 2 Type

Service Options, Please Select at Least One

I wish to register my child(ren) for Fee-Based Regional Bus services, the annual fee is $1200 per family unit and I will pay to FRCS within seven (7) business days of completing the online registration process, a refundable deposit of $240, which will be applied to the annual fee if seats are assigned to my child(ren).
In the event FRCS is able to provide a Late Bus Program: I wish to also register for the Late Bus at no additional fee, my child(ren) will ride the AM/PM Regional Bus and use the Late Bus as needed.
In the event FRCS is able to provide a Late Bus Program: I wish to register for the Late Bus at a fee of $50.00 per month per family unit, my child(ren) will NOT ride the AM/PM Regional bus.

Program Acknowledgements

Please list all children in your family who are currently enrolled/attending FRCS. Please include all siblings on the FRCS Sibling Wait List.
Please read and click each statement below to confirm your acknowledgement and agreement.
In the event that my child(ren) need to ride the Late Bus I understand that they must participate in an approved after school Academic Enrichment program and be supervised at all times in order to ride the Late Bus. Student’s serving detention may NOT ride the Late Bus. The Late Buses run Monday thru Thursday only and do not run on Early Dismissal days. *
I understand that a ‘Note from Home’ is required for dismissal changes for Grades K – 5 and/or to ride the Late Bus. I understand that a Note from Home is not required for students in Grades 6 – 12. *
I understand that if my child(ren) currently participate in the program that all fees must be current. Accounts with Past Due balances are not eligible to register for services. *
I understand that my prior year accounts must be in good standing in order to reserve seats, if my prior year accounts have Past Due balances at the time the online registration is submitted seats will not be reserved and I must reapply. I will be notified in writing by the school that seats have not been reserved for my child(ren). *
I understand that my registration is not complete and seats will not be reserved for my child(ren) until FRCS receives a $240 deposit to be applied to my annual fee of $1200.00. This $240 deposit will be refundable in the event that I am not issued an assignment. I understand that I must submit payment in the form of a money order or cashier’s check. I will send my payment to: FRCS 131 Central Street, Foxborough, MA 02035, I will note on the M.O./Cashier’s Check my name, address and children(s) names, I will include a print out of my online registration receipt and retain copies of both for my records. *

Student Information

Student Last Name
First Name
Grade
DOB (MM/DD/YYYY)
My Student Is
Student 1 Last Name
Student 1 First Name
Student 1 Grade
Student 1 DOB
My Student Is
Student 2 Last Name
Student 2 First Name
Student 2 Grade
Student 2 DOB
My Student Is
Student 3 Last Name
Student 3 First Name
Student 3 Grade
Student 3 DOB
My Student Is
Student 4 Last Name
Student 4 First Name
Student 4 Grade
Student 4 DOB
My Student Is
Siblings not currently attending FRCS but on the FRCS Sibling Wait List must be included.

Bus Stop Request

Please select your top three (3) Bus Stop selections, the Transportation Department will do it’s best to accommodate families.
Example: Option 1 – Dairy Queen, Option 2 – Stop & Shop, Option 3 – Keys of Kingdom
Bus Stop Option 1
Bus Stop Option 2
Bus Stop Option 3
Bus Stop Suggestion
If you would like to suggest a bus stop location, please provide the following in an e-mail to Transportation Department
1. 1. Detailed information about the location
2. 2. Confirmation that students are be able to board the bus without crossing the street
3. 3. Confirmation that the stop is accessible in winter
4. 4. Confirmation that shelter is available for student(s) or adequate parking for parents is necessary

Late Bus Stop Request

Bus Stop

Student Transportation Fees

I understand that the cost may fluctuate according to the number of families/riders in the program, adjustments if necessary will be made quarterly; I understand that fees are due by the installment dates according to the fee schedule. All balances must be paid in full by November 1st. I understand that I will not be sent a bill that it is my responsibility to make prompt payments and maintain a record of same. I confirm that all outstanding balances must be paid prior to my child boarding the first day of school. I understand that any outstanding balances are charged a $25.00 late fee and that this ensures continued bus services to my child.*
I agree to pay a fee of $25.00 per returned check and original check amount by money order and/or cashier’s check within seven (7) business days of being notified by FRCS of the returned check. Returned checks and fees may not be paid with another personal check.*
FRCS is charged by the transportation provider each time a child(ren) must be returned to school. In the event this cost is incurred I understand this fee must be passed along to me. I agree to pay a Return to School Trip fee of $75.00 and Extended Day care fees if my child(ren) must be returned to school. If my child must be returned to school a second time during the same school year these fees will be incurred again and transportation privileges will be suspended for one (1) week. If it happens a third time during the same school year these fees will be incurred again and transportation privileges will be revoked for the remainder of the school year.*
I understand that if the school notifies me that my child(ren) may not ride the bus for any reason (medical concerns or behavioral concerns) and requests that I pick them up, refusing to do so may lead to the loss of transportation privileges.*
I understand that I will be responsible for any costs associated with any vandalism or damage to the bus caused by my child.*
For transportation Financial Assistance consideration COMPLETELY CONFIDENTIAL a Financial Assistance application must be submitted (available ten (10) business days prior to the first day of school). The financial assistance application will be available on the FRCS website, it is in your best interest to promptly submit the application and required documents. I understand I am responsible for the fees until my application is approved. I understand that I must pay the required $240.00 down payment regardless of my current eligibillity. I understand that if I do not pay this deposit within the required seven (7) day deadline my application will be considered Not Active and seats will not be reserved for my child(ren).*
I agree to provide at least thirty (30) days notice to discontinue fee based services and cancel ridership and that monies refunded will be based on a pro-rated calculation on services used to the last date of the 30 day notification. I understand that balances must be paid in full by the dates outlined in the fee schedule above or immediate loss of transportation privileges may occur and late charges will incur on past due balances regardless, of cancellation during the year.*
The school bus transportation expenses are incurred on an annual contractual basis. Since F.R.C.S. must meet these contractual obligations no refunds will be issued as a matter of policy.
Please print, read and retain for your records the Student Transportation Fee Schedule

Emergency Contact Information

Please note that anyone listed here must have your signed authorization on file in the Main Office for your child to be released to these individuals & they will be asked to provide ID. Emergency Contacts are limited to THREE, if it is necessary for another individual to pick up your Kindergarten, Grade 1 or 2 child(ren) please complete a ‘Note From Home’ giving them permission to do so as necessary.
The information provided in this section will be used to contact parents/guardians/caregivers in case of: inclement weather, early dismissals, potential traffic delays, any situation that would require us to contact you in case of an emergency. It is essential that you provide the BEST way to reach you. ACCURATE information for yourself and the contacts listed below, is necessary for the ALERTNOW program to be successful.
1. Emergency Contact #1
* Relationship
* First & Last Name:
* Address:
* City
* State
* Phone Number:
Cell Phone Number:
2. Emergency Contact #2
Relationship
First & Last Name:
Address:
City
State
Phone Number:
Cell Phone Number:
3. Emergency Contact #3
Relationship
First & Last Name:
Address:
City
State
Phone Number:
Cell Phone Number:

Medical Information

Does your child have a life-threatening medical condition?
Please understand that the bus driver’s primary responsibility is to safely transport students. Bus drivers do not provide first aid or medical treatments. Our purpose is for the drivers to identify emergency situations as early as possible, so that they can seek appropriate and timely assistance for a student in need. Please Note any Special Instructions:
Special Instructions
The bus driver must be aware of any health issues your child has that may arise on the bus (bee sting or latex allergies, serious food allergies, diabetes, seizure disorder, etc.). If you’ve checked YES in this box because your child has a Life Threatening medical condition that his or her bus driver should be aware of please print the Emergency Medication During Bus Transport forms, link provided upon completion, located on the Thank You for Your Submission receipt page.

EMERGENCY MEDICATION
DURING BUS TRANSPORT

Students Grade 4 and below will not be assessed for self administration of emergency medication. Upon parent/guardian request, Kindergarten through Grade 4 students and older students who do not meet the criteria for self administration may be permitted to carry prescription medication for life threatening emergencies while being transported to and from school provided the following requirements are met.
1. A parent/guardian signed IHCP (Individualized Health Care Plan) will be in place. It will be noted on the IHCP that student carries emergency medication during bus transport to and from school.
2. Parent/Guardian will sign a consent for their child to carry emergency medication and agree to the following criteria:
A. Parent/Guardian provides permission to School Bus driver in an Emergency situation to administer the prescribed emergency medication and/or prescribed Epi-Pen if necessary.
B. Parent/Guardian will provide emergency medication as directed by licensed provider. Medication will be in a pharmacy labeled or manufacturer’s container and be clearly labeled with the child’s name.
C. Parent/Guardian will be responsible for checking expiration dates and replacing any expired medication.
D. Student will be required to sit in the front seat of the bus for supervision purposes.
E. Emergency prescription medication will be kept in the student’s backpack. It is the parent/guardian’s responsibility to introduce the student to the bus driver and to inform bus driver where in the backpack the medication is located, (front outside pocket). If changes are made throughout the year, it is the responsibility of the parent/guardian to inform the bus driver.
F. A second set of emergency medication, provided by the parent, will be kept in the Nurse’s Office.
3. Foxborough Regional Charter School is not responsible for loss or mishandling of medication by student.
4. Student behavior that endangers their health and safety or the health and safety of others may result in the loss of privilege to carry medication.
I acknowledge receipt of and agree to the above Emergency Medication During Bus Transport Procedures.

Bus Conduct & Discipline

Once a child boards the bus, and only at that time does he or she become the responsibility of Foxborough Regional Charter School. Such responsibility shall end when the child is delivered to the regular bus stop at the end of the school day. The parent/guardian is responsible for the behavior and safety of the student between the residence and the designated bus stop, while waiting at the bus stop, and at the afternoon drop off and are not the responsibility of F.R.C.S.
A school bus is an extension of school itself and the same code of conduct with appropriate consequences will apply for bus misbehavior as they do in school. School bus safety is a primary concern of F.R.C.S. and F.R.C.S. reserves the right to take whatever action is necessary to maintain a high level of safety. The right of a pupil to school bus transportation is a qualified right, dependent on appropriate behavior. In cases where a pupil seriously or continuously violates the code of conduct, parents will be notified by the School and the bus pass will be revoked if, in the opinion of the School, such action is necessary for the general safety and wellbeing of other students.
To complete the online registration application this form will need to be printed, read, signed and dated. Students in Grades 5 through 12 must also read, sign and date the Bus Conduct Guidelines this completed form must be submitted with your first payment/deposit..

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Regional School Bus Transportation Registration