Mainstream School Transport Ages 5-16

If applying on SEN grounds for transport, please see Education travel assistance - SEN pupils

Data Protection & Terms and Conditions

Shropshire Council will use the information you provide for the purpose of processing your child's transport entitlement request. It will be retained for a maximum of 6 years, from the receipt of this application.

You will receive written notification from the School Transport Team regarding the outcome of this application. Entitled pupils will receive a copy of the code of conduct which must be adhered to. You must contact us immediately if any of your details provided on this application change. Here you can find the full Free School Transport guidance notes.

Consent for storing submitted data (you must tick yes to complete the form). I have read and understood the data protection and terms and conditions* Yes, I give permission to store and process my data
No, I don't consent to storing and processing my data

Parent/Guardian/Carer details

Title: *

Relationship with student: *

First Name: *

Last Name: *

Email: *

Contact Telephone: *

Enter your Address or Postcode and choose the correct entry from the list:*

Pupil Details

Title: *

First Name: *

Last Name: *

Gender: * Female Male N/A

Date of birth (dd/month/yyyy):*

Enter Student Address or Postcode and choose the correct entry from the list:*

Address Line 1: *

Address Line 2:

Town: *

Postcode: *

Have you moved in to this address within the last 3 years:
Yes No

School and route details

What is the name of the school to be attended?:*

Other School: *

Do you have any other children under your guardianship at same school? * Yes No

Sibling first name:*

Sibling last name:*

Sibling date of birth (dd/month/yyyy):*

Date that transport is required from (dd/month/yyyy):*

For those pupils entitled to free school transport or income assessed transport assistance the Passenger Transport Group will allocate the transport type, route and pick up point within a reasonable distance of the home address. However, if you have a preferred route and pick up point that you wish to be considered please state here:

If known, state bus company / route number:

Please provide any further information which you believe would be helpful to your application:

Emergency contacts

Please provide details of two contacts that you would like us to call in the event of an emergency.

Emergency Contact 1 Name:*

Emergency Contact 1 Relationship to Applicant:*

Emergency Contact 1 Address:*

Emergency Contact 1 Town:*

Emergency Contact 1 County:*

Emergency Contact 1 Postcode:*

Emergency Contact 1 Home Telephone:

Emergency Contact 1 Work Telephone:

Emergency Contact 1 Mobile:*

Emergency Contact 2 Name:

Emergency Contact 2 Relationship to Applicant:

Emergency Contact 2 Address:

Emergency Contact 2 Town:

Emergency Contact 2 County:

Emergency Contact 2 Postcode:

Emergency Contact 2 Home Telephone:

Emergency Contact 2 Work Telephone:

Emergency Contact 2 Mobile:

Declaration

Is there anything more we need to know? Please use this space for any information that you feel will help the driver and ourselves for any future travel planning to ensure the journey is as safe as possible:

I confirm that the information I have provided is correct to the best of my knowledge. I understand that if any information I have supplied is found to be intentionally false in order to gain travel assistance, that travel assistance may be revoked.

I have read and confirm the above declaration *

Shropshire Council