School Bus Pass Application Form Student Details Firstname: Surname: School: Route: School Year: Please Select.. Year 3 Year 4 Year 5 Year 6 Year 7 Year 8 Year 9 Year 10 Year 11 Year 12 Year 13 Bus Stop: Please Select.. Hugglescote - Roberts Travel Group Coalville - Belvoir Road Opp Marlene Reid Center Coalville - Ashby Road, Opp West End Club Coalville - Ashby Road, Bus Stop at Belmont Drive Swannington - Hough Hill, Hoos Ash Bus Stop Swannington - Main Street, Opp Robin Hood Pub Swannington - Main Street, Windmill Hill Bus Stop Thringstone - Loughborough Roadm The Rangers Club Thringstone - The Green, Rubys Chip Shop Whitwick - North Street, 1st Bus Stop after The Dumps Whitwick - Market Place Bus Stop Ibstock - Ibstock School, Central Avenue Bagworth - Nisa Station Road Ellistown - Midland Road/Ibstock Road Bus Stop Hugglescote - Station Road, Bus Stop Prior to Traffic Lights Hugglescote - The Bear, Central Road Coalville - Halfway Hotel, Belvoir Road Coalville - Avenue Road/Bridge Road Coalville - Avenue Road/Prince Street Coalville - Broomleys Road/Long Lane Mobile Phone: Authorise sending of SMS to Student Tick if disabled access to school transport is required Address Address 1: Address 2: Village: County: Postcode: Parent/Guardian Details Full Name: Relationship: Please Select.. Parent Guardian Phone 1: Phone 2: Email: Payment Scheme: Please Select.. Payment in full (1 x £642.00 Total £642.00) 3 Payments (3 x £220.00 Total £660.00) 8 Payments (8 x £86.25 Total £690.00) Payment in full (1 x £192.60 Total £192.60) Payment in full (1 x £95.00 Total £95.00) LCC Entitled (1 x £0.00 Total £0.00) Authorise sending of SMS to Parent Photograph of Student Upload a photograph to appear on the pass -head and shoulders - Must be taken in portrait mode. Format required JPG, BMP or PNG. You will need to complete one application form per student * Please ensue the photograph is a high resolution portrait Notes (Add any additional comments here): Part Time Options I Agree to Roberts Travel Group Terms & Conditions (You must agree to these terms in order to proceed) View T&Cs Proceed to payment Part time options × Please select your part time travel options, You will only be allowed to create a travel pass for the current or next term period Select Term Please School Term.. Start Date End Date Day of Week AM Travel PM Travel Monday UNKNOWN DAT101 No Travel UNKNOWN DAT101 No Travel Tuesday UNKNOWN DAT101 No Travel UNKNOWN DAT101 No Travel Wednesday UNKNOWN DAT101 No Travel UNKNOWN DAT101 No Travel Thursday UNKNOWN DAT101 No Travel UNKNOWN DAT101 No Travel Friday UNKNOWN DAT101 No Travel UNKNOWN DAT101 No Travel Alternative Route: Please Select..