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RATES & POLICY 

Online Transportation
Queens Village & Environs ONLY!
Request Form & Application
Please read all to the bottom!

CHILD(REN)'S INFORMATION

Child's Last Name  

Child's First Name  

Gender  

Date of Birth

Age  

Pick - Up Address  

TIME:  

Drop Off  Address

TIME:  

Pick-Up Address # 2

TIME:

Drop Off Address # 2

TIME:  

2nd Child's Name  

Age  

Date of Birth

3rd Child's Name  

Age  

Date of Birth

Preferred Language  

PARENT'S INFORMATION

Mother's Name  

Father's Name  

Email Address  

Home Telephone #  

F - Cell Telephone #  

M - Cell Telephone #  

F - Work Telephone #  

M - Work Telephone #  

Nation of Origin  

Preferred Language  

SCHOOL / CARE INFORMATION

School or Care Name

Service to Begin on:

Service to End on:

Teacher's Name

School / Care Address

Class #  

School / Care Tel. #  

After-School Tel. #  

PAYMENT & ACCOUNT INFORMATION
Online payment options allow only weekly payments due to the fact that some months have 5 weeks.  If you want to pay once a month for your service, please repeat payment for each week you are paying for.  As an alternative, we can always receive cash or checks when we pick up your children - payments must be made by Friday of the week prior to service.

Select Day of Payment Friday  Monday
Frequency of Payment Weekly Bi-Weekly Monthly
Annual Registration Fee   $25.00 - Per Household
Select Payment Method

Please Note: To pay online, you must register first by submitting this form.  Then go to our payment center by clicking HERE or by clicking the link on the home page.  Thank You.

Tell Us About Yourself & Your Child(ren) 
Hablamos Español - Somos Hispanos!

Registration fees must be made in our payment center in order for your application to be processed.  If you haven't already done so, visit our payment center and make the payment required.

Thank You!

ALL ACCOUNTS ARE SUBJECT TO OUR TRANSPORTATION POLICIES - READ THEM HERE.