Parent
consent, child agreement and booking form
Walking Bus form for ........................school
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) ________________________ | |
For the children to sign
I understand that when I use the walking bus I must:
-
Listen to the driver and conductor and do as I am asked or told
- Wear a fluorescent/reflective waistcoat
-
Behave sensibly
Signed:
| 1. ________________________________ | 2.________________________________ |
| 3. ________________________________ | 4. ________________________________ |
Contact details of parents
Home Tel:_______________
Mobile Tel:_______________
Work Tel:________________
Email:_____________________________
How many car trips to school in the morning and car trips from school in the afternoon will you save each week? Number:________
Booking Form
| 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 |
Please use this space if you have any comments or requests:
______________________________________________________________________________
______________________________________________________________________________
Please indicate which 'bus stop' your child(ren) will be using:___________________________
With grateful acknowledgement to Felicity Edwards, a parent and governor at Four Lanes Infant School, for many of the ideas on this form.
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Other suggestions for schools
- provide a map of the route with 'stops'
- or a list of named 'stops'
- or a reminder of the starting point (should there be no stops on the route)

