Reference No. School Bus Registration Form (One per child) Academic Year 17/18 Please complete and return the form 2 weeks before 1st day of school to Ms. Liezette from Maverick email@example.com Student Information Full Name of Student * First Middle Last Grade * Birth Date * Gender * Male Female Decline to Answer Special Physical Needs? * If Yes, please specify. Parent's Information Full Name of Parent * First Middle Last Email Address * Mobile Number * Makani Code * Relationship to Student * Journey Pick up & drop off Please confirm which pick-up/drop off you need Morning Pick up * Within Dubai – 20km radius/ AED7,280 for 1 year Within Dubai – 20km radius/ AED9,000 for 2 years Afternoon drop off * Within Dubai – over 20km radius/ AED 7,680 for 1 year Within Dubai – over 20km radius/ AED 9,500 for 2 years Instructions: Applications and change of schedule received after the deadline date are reviewed subject to seats availability. Please tick as needed and make sure your child is registered for the according ASA, if you choose a late bus.