PLEASE TICK ONE

NEW PASSENGER (must also complete a TMR form)
ROLLOVER PASSENGER (if no changes to student name, address or school)
COPY PASS (if require a replacement Bus Pass only)

FIRST NAME (student)

LAST NAME (student)

DATE OF BIRTH (student)

ADDRESS (home)

SCHOOL ATTENDING

GRADE

TRAVEL START DATE

FIRST & LAST NAME (parent or guardian)

MOBILE PHONE (parent or guardian)

EMAIL ADDRESS (parent or guardian)

COMMENTS OR NOTES

User Agreement

BY CONTINUING, YOU AGREE TO OUR CONDITIONS OF TRAVEL

PASSES MUST BE SHOWN ON EACH JOURNEY OR A FARE PAID.

PASSES REMAIN THE PROPERTY OF KOALA KOACHES.

PASSES MUST BE PAID FOR BY THE END OF THE FIRST WEEK OF EACH TERM OR BEFORE.

OLD PASSES MUST BE RETURNED TO THE DRIVER AT THE END OF EACH TERM OR YEAR.

LOST PASS REPLACEMENT COST: $15.00

FOR THE SAFETY OF ALL PASSENGERS AND THE DRIVER, STUDENT BEHAVIOUR MUST CONFORM TO THE TMR CODE OF CONDUCT FOR SCHOOL CHILDREN TRAVELLING ON BUSES.

UNAUTHORISED USE OF ANOTHER STUDENT'S PASS WILL RESULT IN DISCIPLINARY ACTION FOR BOTH STUDENTS.

VERIFIED REPORTS OF INAPPROPRIATE OR UNSAFE BEHAVIOUR COULD RESULT IN SUSPENSION FROM TRAVELLING, FOR A PERIOD OF TIME.