Parent
consent and booking form
Walking Bus booking form for ........................school
| To school (am) | Tick | No. of Infants | No. of Juniors |
| Monday | |||
| Tuesday | |||
| Wednesday | |||
| Thursday | |||
| Friday |
| To school (am) | Tick | No. of Infants | No. of Juniors |
| Monday | |||
| Tuesday | |||
| Wednesday | |||
| Thursday | |||
| Friday |
I would like my child(ren) to participate in the walking bus. I agree to the rules of the walking bus and have spoken to my child(ren) about road safety and suitable behaviour. It is my responsibility to inform the appropriate person if my child is unable to join the bus on any day.
| Name | Class |
| 1. _____________________ | ___________ |
| 2. _____________________ | ___________ |
| 3. _____________________ | ___________ |
| 4. _____________________ | ___________ |
| Signed:___________________________ | Date: __/__/__ |
| Name (print please) ________________________ | |
How many car trips to school in the morning and car trips from school in the afternoon will you save each week? Number:________
Please use this space if you have any comments or requests:
______________________________________________________________________________
______________________________________________________________________________
With grateful acknowledgement to Felicity Edwards, a parent and governor at Four Lanes Infant School, for many of the ideas on this form.

