First Payment on Parent Pay of £ ………………….. To cover the half term commencing _________________. I agree to follow the above rules and return the bus pass if I choose not to continue to pay for the half termly bus pass by the due date. Student signature _________________________________________ Schedule of Payment and payment dates for the half termly bus pass Half Term Cost Pass from Payment due by Weeks covered Autumn 2 £35 5th November 19th October 7 Spring 1 £25 7th January 14th December 5 Spring 2 £25 18th February 1st February 5 Summer 1 £35 8th 15th March 7 Summer 2 £30 3rd June 17th May 6 --------------------------------------------------------------------------------------------------------------------------- OFFICE USE: The bus pass will only be issued when Finance have confirmed that full payment has been received on Parent Pay. Student Eligible Amount Paid Checked payment received on Parent Pay Date/Staff Name Bus pass issued/renewed Date Amount Paid Record payment on Spreadsheet Date Signature
First Payment on Parent Pay of £ ………………….. To cover the half term commencing _________________. I agree to follow the above rules and return the bus pass if I choose not to continue to pay for the half termly bus pass by the due date. Student signature _________________________________________ Schedule of Payment and payment dates for the half termly bus pass Half Term Cost Pass from Payment due by Weeks covered Autumn 2 £35 5th November 19th October 7 Spring 1 £25 7th January 14th December 5 Spring 2 £25 18th February 1st February 5 Summer 1 £35 8th 15th March 7 Summer 2 £30 3rd June 17th May 6 --------------------------------------------------------------------------------------------------------------------------- OFFICE USE: The bus pass will only be issued when Finance have confirmed that full payment has been received on Parent Pay. Student Eligible Amount Paid Checked payment received on Parent Pay Date/Staff Name Bus pass issued/renewed Date Amount Paid Record payment on Spreadsheet Date Signature
EllieRoseBusPassApplication.docx