Parent's/Guardian's Name:
Day Phone Number:
Address:
Paying:	Annual (1) Payments	Semi-Annual (2) Payments
Trip:	Round Trip	One Way
Pick up stop:	Select Big Branch & S Shingle Rd, 6:57am Crooked Branch & S Shingle Rd, 6:58am Barnett Ranch & S Shingle Rd, 6:59am Lonesome Dove & S Shingle Rd, 7:00am Amber Fields @ Royal Estates gate, 7:02am Shadow Hawk, 7:05am Fernwood & S Shingle Rd, 7:06am Silver Oak & S Shingle Rd, 7:07am Heffren & S Shingle Rd, 7:08am Memory Lane, 7:09am Latrobe Drive Way, 7:12am Sun Ridge Meadow, 7:17am Cothrin Ranch, 7:19am Ryan Ranch, 7:21am Chaparral & Latrobe Rd, 7:32am 8521 Latrobe Rd, 7:33am Dragon Point Rd, 7:34am Falcon Haven, 7:35am
Drop off stop:	Select Route 1: Latrobe School / 7440 S. Shingle Rd, 2:14pm Route 1: Memory & S Shingle Rd, 2:17pm Route 1: Brandon, 2:18pm Route 1: Shadow Hawk, 2:21pm Route 1: Fernwood & S Shingle Rd, 2:22pm Route 1: Silver Oak & S Shingle Rd, 2:23pm Route 1: Heffren & S Shingle Rd, 2:24pm Route 1: Latrobe & Sun Ridge Meadow Rd, 2:33pm Route 1: Cothrin Ranch, 2:35pm Route 1: Ryan Ranch Rd, 2:37pm ----- ------ ----- Route 19: Chaparral & Latrobe Rd, 2:17pm Route 19: 8521 Latrobe Rd, 2:18pm Route 19: Dragon Point Rd, 2:19pm Route 19: Falcon Haven & Latrobe Rd, 2:20pm Route 19: Amber Fields @ Royal Estates gate, 2:40pm Route 19: Coyote Pass, 2:42pm Route 19: Twilight & S Shingle Rd, 2:43pm Route 19: Barnett Ranch & S Shingle Rd, 2:44pm Route 19: Old Ox & S Shingle Rd, 2:45pm Route 19: Crooked Branch & S Shingle Rd, 2:46pm Route 19: Stampede Lane & S Shingle Rd, 2:47pm

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	1st Child's Name: School: --Select--Latrobe ElementaryMiller's Hill Grade: --Select--K12345678
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	2nd Child's Name: School: --Select--Latrobe ElementaryMiller's Hill Grade: --Select--K12345678
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	3rd Child's Name: School: --Select--Latrobe ElementaryMiller's Hill Grade: --Select--K12345678
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	4th Child's Name: School: --Select--Latrobe ElementaryMiller's Hill Grade: --Select--K12345678
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	5th Child's Name: School: --Select--Latrobe ElementaryMiller's Hill Grade: --Select--K12345678