Sandia Prep Bus Registration Form

BUS REGISTRATION FORM

Agreement*I have read and agree to the policies regarding Sandia Prep's bus service (listed in the email.)

Please select pick-up/drop- location:*Corrales Recreation Center (Jones Road)Cottonwood Mall (NE Corner)Tramway & Academy (Starbucks Parking Lot)Hoffmantown Church (Harper Road)Hyder Park (NE Corner)Carlisle & Constitution (Smith's Parking Lot)

Student #1 Full Name*

Please select an option for Student #1:*Pick-Up ONLY (+$525.00)Drop-Off ONLY (+$525.00)Both Pick-Up & Drop-Off (+$950.00)

Student #2 Full Name (if applicable)

Please select an option for Student #2 (if applicable):Pick-Up ONLY (+$420.00)Drop-Off ONLY (+$420.00)Both Pick-Up & Drop-Off (+$760.00)

Parent Full Name*

Parent Email Address*

Parent Phone Number* - -

Amount$0.00

Payment Method:*

Payment Notes/Additional Info:

Name on Card:*

Email You Want Associated with Credit Card Payment:*

Card Number:*

Card Exp Month / Year:* /

Card CVV:*

Card Billing Zip:*