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.. L.F.E - A47 Hinckley Road Bus Stop Opposite Nisa Shop L.F.E - A47 Hinckley Road. Opposite CO-OP Braunstone - Braunstone Ln / Beech Drive (Opp Spice & Rice) Braunstone - Top of Woodshaw Rise Braunstone - A47 Hinckley Road, Opp Braunstone Leisure Centre Western Park - A47 Hinckley Road, Dovelands School Western Park - Glenfield Road, Christ The King Junior School Glenfield - Dominion Road Bus Stop before old Petrol Station Glenfield - Station Rd, Nags Head Bus Stop Glenfield - Station Road, Bus Stop Opposite Glenville Ave Groby - Groby Road Bus Stop Opp Millenium Green Groby - Laund Way Bus Stop opposite CO-OP Ratby - Markfield Road 1st Bus Stop opp Harwood Close Markfield - South Charnwood School L.F.E - A47 Hinckley Road - Red Cow Bus Stop 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 £633.00 Total £633.00) 3 Payments (3 x £216.00 Total £648.00) 8 Payments (7 x £95.14 Total £665.98) Leicestershire County Council Transport (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..