Bus Transportation Contract - Central Arkansas Christian Schools

NOTICE

Due to bus space constraints, before filling out this form you must receive approval from Shelby Lillard in the Secondary Campus Main Office.

Parent/Guardian Name*

First Last

Email*

Plan Selection (Student 1)

1. Student Name*

First Last

1. Student Grade*

1. Select AM Plan #*

1. Select PM Plan #*

2. Student Name

First Last

2. Student Grade*

2. Select AM Plan #

2. Select PM Plan #

3. Student Name

First Last

3. Student Grade*

3. Select AM Plan #

3. Select PM Plan #

4. Student Name

First Last

4. Student Grade*

4. Select AM Plan #

4. Select PM Plan #

I understand that my FACTS account with be drafted for the amount corresponding to the Plan # I have chosen.*