Registration Form 2017 Khandallah/Churton Park/Crofton Downs Son’s full name

Tranzit Bus Term 1 Registration Form 2017

Khandallah/Churton Park/Crofton Downs

Son’s full name (Christian and Surname): _________________________________________

Year level: _______ House: __________________________ Class:________ (Prep School only)

Name of Parent: _________________________________________ (please print)

Bus service (please tick box)

Khandallah

Churton Park

Crofton Downs

Signature of Parent/Guardian:_______________________________________________

Please indicate trips intended to take (tick appropriate days and times)

	Mon	Tue	Wed	Thu	Fri
am
pm

NB: Charges will be calculated and charged to accounts on a termly basis. Actual cost will be determined by number of passengers.

Please return to:

Email: [e-mail]

Post: Will Struthers, Deputy Principal, Scots College, PO Box 15 064, Miramar, Wellington 6243

By Hand: to the Middle School Office

By Thursday 2nd February 2017 – or before.