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.. - Route Nottingham - Layby outside the Salutation Inn, Maid Marion Way West Bridgford - Loughborough Road - before Chantrey Road West Bridgford - Loughborough Road – Tesla Garage West Bridgford - Loughborough Road - Outside Funky Pots (Zone A) Compton Acres - Rugby Road – Before Parkstone Close (Zone B) Ruddington - Wilford Road - Before The Victoria Tavern (Zone B) Ruddington - Loughborough Road Ruddington Retirement Village (Zone B) Ruddington - Loughborough Road – A60 after Kirk Lane (Zone B) Bradmore - Loughborough Road – A60 Bus Shelter (Zone B) Bunny - Loughborough Road - A60 after Albert Road (Zone B) Costock - Loughborough Road – Shelter after Wysall Road (Zone B) Rempstone - Loughbrough Road – After Guesthouse crossroads (Zone B) Hoton - Loughbrough Road – Bus Shelter (Zone C) Cotes - Loughbrough Road – Bus Shelter op Stanford Ln (Zone C) Loughborough - Loughborough Schools Foundation Bunny - Loughborough Road - A60 after Rancliffe Arms pub (Zone B) Nottingham - A60 - Bus stop opp Topknot before Trent Bridge 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 (ZONE A) (1 x £900.00 Total £900.00) 3 Payments (ZONE A) (3 x £307.00 Total £921.00) 8 Payments (ZONE A) (8 x £118.00 Total £944.00) Payment in full (ZONE B) (1 x £800.00 Total £800.00) 3 Payments (ZONE B) (3 x £273.00 Total £819.00) 8 Payments (ZONE B) (8 x £105.00 Total £840.00) Payment in full (ZONE C) (1 x £600.00 Total £600.00) 3 Payments (ZONE C) (3 x £205.00 Total £615.00) 8 Payments (ZONE C) (8 x £79.00 Total £632.00) 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..