HB, Laurel, US Collaborative Transportation Registration Form

Required

Thank you for your interest in the HB, Laurel, University School transportation collaborative. To register for route service or intercampus shuttle service, please complete the form by June 30.

If you have a sibling attending Laurel or University School, register them through their respective school’s website.

Seating is available on a first-come, first-served basis and is limited to the seating capacity of the bus. Preference will be given to those students who ride a route bus to/from school. 

If you have any questions, please contact the Transportation Office via email or 216.320.8081.

Parent/Guardian's Namerequired
First Name
Last Name
Parent's Email Addressrequired
Parent's Contact Numberrequired
Student's Namerequired
First Name
Last Name
Grade in the Fallrequired
Date of Birthrequired
mm/dd/yyyy
Do you want to register a second HB student?required
Second Student's Namerequired
First Name
Last Name
Second Student's Grade in the Fallrequired
Second Student's Date of Birthrequired
mm/dd/yyyy
Do you want to register a third HB student?required
Third Student's Namerequired
First Name
Last Name
Third Student's Grade in the Fallrequired
Third Student's Date of Birthrequired
mm/dd/yyyy
Do you want to register a fourth HB student?required
Fourth Student's Namerequired
First Name
Last Name
Fourth Student's Grade in the Fallrequired
Fourth Student's Date of Birthrequired
mm/dd/yyyy
Do you want to register a fifth HB student?required
Fifth Student's Namerequired
First Name
Last Name
Fifth Student's Grade in the Fallrequired
Fifth Student's Date of Birthrequired
mm/dd/yyyy
Home Addressrequired
Cityrequired
Staterequired
Zip Coderequired
Select the Stop You Intend to Userequired
Transportation Options: Morningrequired
Transportation Options: Afternoonrequired
List any additional information/special situations below​

Emergency Contacts 

Provide the names and telephone numbers of three emergency contacts in the morning, day, and evening

 

Emergency Contact Name #1required
First Name
Last Name
Emergency Contact #1 Phone Number required
Emergency Contact Name #2required
First Name
Last Name
Emergency Contact #2 Phone Number required
Emergency Contact Name #3required
First Name
Last Name
Emergency Contact #3 Phone Number required

I hereby grant my consent to register my child for Hathaway Brown School transportation service. I have reviewed the current cost and billing procedures, and agree to pay all fees associated with the use of the service. I understand that if transportation is provided by Hathaway Brown School, my child agrees to follow all rules and regulations established by the board of trustees and/or their representative and failure to do so is good and sufficient reason to discontinue service to my child.

I Have Read and Understand the Aboverequired
Short Answer