DESS College - Transport Service Request Form

If you would like to use the DESS College bus service, please complete the details below and the DESS College Bus Coordinator will respond to your request.

If you are applying for the bus service for more than one child - please add another response for each child, and arrange for each child to complete the disclaimer below.

Start Date

When would you like to start using the DESS College bus service?

Date format dd/mm/yyyy

Student Details

Student Forename:

Student Surname:

Tutor Group (if known):

Parent/Guardian Details

Parent/Guardian Full Name:

Mobile Number:

Email Address:

Relationship to Student:

Emergency Contact Details

Emergency Contact Name:

Emergency Contact Mobile Number:

Emergency Contact Relationship to Student:

Where is Home

Home Address:

Nearest Landmark:

Directions:

DESS College Code of Conduct

By checking the box below I agree to the DESS College Transport Service Guidelines and Code of Conduct which can be viewed by following the link below:

Code of Conduct and Terms and Conditions

I agree to the DESS College Transport Service Guidelines and Terms and Conditions

I agree

Student Name:

Parent/Guardian Name:

Date:

Contact Information