Richard Winn Academy

Bus Contract 2009-2010

Student(s): _____________________ Grade for 2009-10 ______

_____________________ Grade for 2009-10 ______
_____________________ Grade for 2009-10 ______
Parent(s) Name: __________________________________________________

Address: ___________________________________________________

City, State, and Zip Code: ____________________________________________

Please indicate the route and circle the payment type that fits your needs:
per month (August – May) yearly w/ 4% discount

_____Round Trip (Chester) – 1 child $132 $1269

_____Round Trip (Chester) – 2 children $241 $2316
_____Round Trip (Chester) – 3 children $241 $2316
_____One Way (Chester) AM or PM $ 78 $ 749
_____Round Trip (White Oak) – 1 child $81 $ 778
_____Round Trip (White Oak) – 2 children $151 $1448
_____Round Trip (White Oak) – 3 children $151 $1448
_____One Way (White Oak) AM or PM $ 46 $ 439
_____Round Trip (Blackstock) – 1 child $101 $ 968
_____Round Trip (Blackstock) – 2 children $189 $1817
_____Round Trip (Blackstock) – 3 children $189 $1817
_____One Way (Blackstock) AM or PM $ 52 $ 499

The fee will be $5.50 per ride for the occasional ride one way if already committed
to riding one way each day. Guests of children who ride the bus have been allowed to
ride for free. This policy will continue as long as space is available.
This charge will be for the 10-month period (August – May) that the student will be riding
the bus. Individuals will be responsible for the full payment of annual bus
transportation fees. If you are under contract and your child becomes licensed
to drive, the contract ends if you choose. The payment is due on the 15th of
each month and a $10 late fee will be assessed for all accounts past due. Students
may not be allowed to ride if payment is not made by the 25th.
I understand that a first payment is due on or before August 15, 2009.
My child(ren) and I have read and agree to follow the attached Bus Rules. I also
understand that the School has the right to change or discontinue any route at its
discretion. Richard Winn reserves the right to substitute transportation on an
occasional and as needed limited basis. Every effort will be made to transport children
to and from Chester on the newest and/or most mechanically reliable vehicle. The
school also reserves the right to change the rates depending upon the number of riders
and/or unexpected expenses (i.e.: increased fuel prices).
Please send this contract to the school with the first payment. A school official will sign it
and a copy will be returned to you.
_____________________________ _____________ _______________________
Parent/Guardian Signature Date Daytime Phone
_____________________________ _____________
School Official Signature Date