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Los Gatos School Bus Pilot Service - Sign Up Form

  1. Los Gatos School Bus Pilot Service

    Bus Pass 2018-2019 Sign Up Form

  2. The Town Council approved Routes A and B in the School Bus Pilot Program starting in January 2019. There are limited seats available on Route A and B. If your like to sign up and pay for your bus pass, please complete the online form. Seats are available on a first come, first serve basis.

  3. If necessary, write in.

  4. If different from home address

  5. If different from home address

  6. to receive service-related text messages, for example, late bus (###-###-#### format)

  7. (insert second contact #, if necessary)

  8. By checking the following box, I acknowledge that my child has permission to ride the bus and use the bus stops listed and that my child will follow the Bus Safety Rules. I accept all responsibility for the transportation of my child to and from the bus stops. I understand and agree that the Town of Los Gatos (Town) does not provide supervision while waiting at the bus stop. I hereby release on behalf of myself and my child and agree to hold the Town harmless from any liability or responsibility for injuries or damage arising out of or related to the use of the bus service. I authorize the use of my email address and cell number for the Town and its transportation contractor to contact me.

  9. Acknowledgement: *

  10. Leave This Blank:

  11. This field is not part of the form submission.