Orbit Coaches | Coach, Bus & Minibus Hire Leicester

Student Details

Full Name *

First

Last

DOB *//

School Year *

Address *

Town *

Postcode *

Wheelchair Access

My child requires wheelchair access to school transport.

ID Photo *

Click or drag a file to this area to upload.

Please upload a photo for your child's bus pass. The photo must be portrait and can be in either .jpg, .bmp or .png format. There is a file size limit of 7mb.

Primary Parent/Guardian Details

Full Name of Parent/Guardian *

First

Last

Relationship to Student *

Address *

Town *

Postcode *

Mobile Phone Number *

Alternative Phone Number

Email Address *

Email

Confirm Email

Payment Details

Please fill in correct details of the person making payment.

Full Name on Account *

First

Last

Email Address *

Email

Confirm Email

Payment Method *

Standing Order

Please tick to agree to setting up your standard order.

Comments

Please accept our Terms & Conditions and Behaviour Policy *

I have read, understood and agreed to Terms & Conditions VIEW

Acceptance - I have read, understood and agreed to: (copy) *

I have read, understood and agreed to school travel codes of conduct and terms of use VIEW