Step 1. Read/agree to Terms and Policies--->Step 2. Provide Infomation--->Step 3. Select Payment Method--->Step 4. Make Payment

Please do not use all UPPER CASE or all lower case letters.   Why?

09 - 10 School Year

Required info
in red

Parent/Guardian Information

Parent First Name

Parent Last Name

Mailing Address

Residence Address

 * required when using a PO Box.

City, ST Zip

 ,

Day Phone

 (Format: 530-555-1212)

Home Phone

Emergency/Cell Phone

Email
I am registering bus rider(s) for 2009 - 2010.

Student Rider Information

 
First Name
Last Name
Gender

School
Class of
Boarding/ Dropoff Location
Rider 1
M
F
Rnd Trip
PM Only
Rider 2
M
F
Rnd Trip
PM Only
Rider 3
M
F
Rnd Trip
PM Only
* If you need to register more riders, please use the comment section below to complete this section.
Comment or additional
rider in formation.
(req) I understand my registration will be accepted only after you receive my payment, form and I receive my confirmation from the Placer Bus Group Inc. By pressing the "Continue to Payment Page" button below, I agree to the Placer Bus Group terms and policies.
Two easy ways to pay... Get a Discount, pay online! (please select)
Online with Credit Card or Debit Card. $50 ($55 - $5 Discount) more info
Mail a Check $55
(req) I have carefully rechecked the above information and it is correct.