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Heronbridge Info
 

BUS SERVICE APPLICATION 2010


Permanent bus user - registration is PER TERM
Casual Afternoon Ticket: R25 per one way ticket
Book of 10 AFTERNOON ONLY Tickets: R200

Surname: * Date of application:
First Name: 1 Grade(2010):
First Name: 2 Grade(2010):
First Name: 3 Grade(2010):
Morning bus stop: Afternoon bus stop:
Early late:    

Home Phone    
Mother's Name Work Phone Cell phone Email Address
Father's Work Phone Cell phone Email Address
Residential Address:  
Postal Address:  
       

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:
   
Has your child an allergy to Penicillin? Yes No
Anything else? If so, please give details:
Do you belong to a medical aid scheme? Yes No
Name of medical aid scheme:
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 2010, 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 Number: *
   

 

 

 



CONTACT NUMBERS FOR HERONBRIDGE COLLEGE
 Main telephone: 0861HERONC (0861 437 662)  | Admissions: 079 508 7436  | Fax: 011 388 1948  | Accounts: 079 697 2565
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