Bus Application Form

Click here to download the bus application form

Select your bus service options below.
   
Permanent bus user – registration is PER TERM
Casual Afternoon Ticket: R30 per one way ticket
Exam Bus
Book of 10 AFTERNOON ONLY Tickets: R275
Heron Bridge Staff
Surname: Date of application:
First Name: 1: Grade (2012):
First Name: 2: Grade (2012):
First Name: 3: Grade (2012):
Morning bus stop: Afternoon bus stops:
Please indicate below how you wish to use the bus service
   
Morning only Afternoon only Both Morning and Afternoon

Contact Details  
   
Home Phone:
Mother’s Name:
Work phone:
Cell phone:
Email Address:
Father’s Name:
Work phone:
Cell phone:
Email Address:
Residential Address:
 
Code:
Postal Address:
 
Code:
   
THE INDEMNITY FORM MUST BE SIGNED BEFORE THE APPLICATION CAN BE PROCESSED Please return any forms to the College Office.
   
BUS SERVICE INDEMNITY FORM  
   
Full Name of pupil/s:
Date of Birth
   
The following information is required in the event of your child needing medical assistance:
   
Does your child have any allergies or chronic illness? Yes   No
Do you belong to a medical aid scheme? Yes   No
Membership number:
   
TO BE COMPLETED BY PARENT /GUARDIAN
   
I, in my capacity as parent/guardian of the child/ren listed above, request
that a bus ticket be issued to my child/ren for 2011, and request that my school account be debited
accordingly.
I hereby indemnify and absolve HeronBridge College from any responsibility regarding loss of or
damage to any property, or any injury to the said pupil/s from the time he/she leaves home for the bus
trip until he/she returns home.
I acknowledge that the College expects all children to behave appropriately on the bus and should my
child not behave appropriately, the following action will be taken:

  • Misdemeanour 1: A verbal warning will be given from the appropriate Head.
  • Misdemeanour 2: A written warning will be given from the appropriate Head which must be signed by the parent and returned to the school.
  • Misdemeanour 3: The pupil will be removed from the bus for the remainder of the term and for the following term. Fees will not be refunded for the remainder of that term.


I hereby designate the Head of the College / Preparatory school or anyone appointed by him to act in
loco parentis on my behalf, and, should it be necessary, to procure medical or other assistance on my
behalf and at my expense.
Full Name of Parent/Guardian:
ID No:
 
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CONTACT NUMBERS FOR HERONBRIDGE COLLEGE

Main telephone: 011 540 4800    |   Admissions: 079 508 7436   |   Fax: 011 388 1948   |   Accounts: 079 697 2565
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