Δ NOTICE* I acknowledge Bus Contracts for the 2025-26 School Year will not be accepted before Monday, July 28, 2025.Date* MM slash DD slash YYYY What is today’s date?Parent/Guardian Name* First Last Email* Plan Selection (Student 1)1. Student Name* First Last 1. Student Grade*Choose OnePreK3PreK4Kindergarten1st2nd3rd4th5th6th7th8th9th10th11th12th1. Select AM Plan #*Select OneNot ApplicablePV-A5-5 Day (FULL – Not accepting submissions)PV-A3-3 Day (M,W,F) (FULL – Not accepting submissions)PV-A2-2 Day (Tues., Thurs) (FULL – Not accepting submissions)NLR-A5-5 DayNLR-A3-3 Day (M,W,F)NLR-A2-2 Day (Tues, Thurs)1. Select PM Plan #*Select OneNot ApplicablePV-P5-5 Day (FULL – Not accepting submissions)PV-P3-3 Day (M,W,F) (FULL – Not accepting submissions)PV-P2-2 Day (Tues, Thurs) (FULL – Not accepting submissions)NLR-P5-5 DayNLR-P3-3 Day (M,W,F)NLR-P2-2 Day (Tues, Thurs)Plan Selection (Student 2)2. Student Name First Last 2. Student Grade*Choose OnePreK3PreK4Kindergarten1st2nd3rd4th5th6th7th8th9th10th11th12th2. Select AM Plan #Select OneNot ApplicablePV-A5-5 Day (FULL – Not accepting submissions)PV-A3-3 Day (M,W,F) (FULL – Not accepting submissions)PV-A2-2 Day (Tues, Thurs) (FULL – Not accepting submissions)NLR-A5-5 DayNLR-A3-3 Day (M,W,F)NLR-A2-2 Day (Tues, Thurs)2. Select PM Plan #Select OneNot ApplicablePV-P5-5 Day (FULL – Not accepting submissions)PV-P3-3 Day (M,W,F) (FULL – Not accepting submissions)PV-P2-2 Day (Tues, Thurs) (FULL – Not accepting submissions)NLR-P5-5 DayNLR-P3-3 Day (M,W,F)NLR-P2-2 Day (Tues, Thurs)Plan Selection (Student 3)3. Student Name First Last 3. Student Grade*Choose OnePreK3PreK4Kindergarten1st2nd3rd4th5th6th7th8th9th10th11th12th3. Select AM Plan #Select OneNot ApplicablePV-A5-5 Day (FULL – Not accepting submissions)PV-A3-3 Day (M,W,F) (FULL – Not accepting submissions)PV-A2-2 Day (Tues, Thurs) (FULL – Not accepting submissions)NLR-A5-5 DayNLR-A3-3 Day (M,W,F)NLR-A2-2 Day (Tues, Thurs)3. Select PM Plan #Select OneNot ApplicablePV-P5-5 Day (FULL – Not accepting submissions)PV-P3-3 Day (M,W,F) (FULL – Not accepting submissions)PV-P2-2 Day (Tues, Thurs) (FULL – Not accepting submissions)NLR-P5-5 DayNLR-P3-3 Day (M,W,F)NLR-P2-2 Day (Tues, Thurs)Plan Selection (Student 4)4. Student Name First Last 4. Student Grade*Choose OnePreK3PreK4Kindergarten1st2nd3rd4th5th6th7th8th9th10th11th12th4. Select AM Plan #Select OneNot ApplicablePV-A5-5 Day (FULL – Not accepting submissions)PV-A3-3 Day (M,W,F) (FULL – Not accepting submissions)PV-A2-2 Day (Tues, Thurs) (FULL – Not accepting submissions)NLR-A5-5 DayNLR-A3-3 Day (M,W,F)NLR-A2-2 Day (Tues, Thurs)4. Select PM Plan #Select OneNot ApplicablePV-P5-5 Day (FULL – Not accepting submissions)PV-P3-3 Day (M,W,F) (FULL – Not accepting submissions)PV-P2-2 Day (Tues, Thurs) (FULL – Not accepting submissions)NLR-P5-5 DayNLR-P3-3 Day (M,W,F)NLR-P2-2 Day (Tues, Thurs)PaymentI understand that my FACTS account with be drafted for the amount corresponding to the Plan # I have chosen.* I understand and give my permission.