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/ Horsham Pass
Horsham Pass
Horsham Pass
PUPIL DETAILS
Surname
*
Please enter the Pupil's surname for whom the pass is to be issued
First name
*
Please enter the Pupil's first name for whom the pass is to be issued
Date of birth
*
Day
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Year
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Please enter the pupil's date of birth
PARENT/GUARDIAN DETAILS
Title
*
Surname
*
First name
*
Address
*
Street Address
Address Line 2
City
State / Province / Region
ZIP / Postal Code
Phone (office hours)
*
Email
Enter Email
Confirm Email
Please enter the email address of the parent or guardian if applicable. This email will only be used for our internal records and will not be added to any mailing list.
Do you have proof of age for 16-19 years discount
*
No
Citizen Card for 16-19 years discount
Sussex Student Card for 16-19 years discount
3in1 Card for 16-19 years discount
Holders of a Citizen Card, Sussex Student Card or 3in1 Card aged between 16 and 19 can get a discount on School Passes
Proof of age card details and number
Please enter proof of age card details and number if applicable
School Required
*
Millais School
Forest School
Please indicate which school the student will be attending
TERMLY PASS REQUIRED
Termly Pass
*
16+ no ID AUTUMN TERM (from September to Christmas) - £480
16+ no ID SPRING TERM (from January to Easter) - £412
16+ no ID SUMMER TERM (from Easter to July) - £412
Up to 15 yrs AUTUMN TERM - (From January to Easter) £240
Up to 15 yrs SPRING TERM - (From January to Easter) £206
Up to 15 yrs SUMMER TERM - (from Easter to July) £206
Termly Pass
*
16-19 yrs with proof of age AUTUMN TERM (from September to Christmas) - £360
16-19 yrs with proof of age SPRING TERM (from January to Easter) - £309
16-19 yrs with proof of age SUMMER TERM (from Easter to July) £309
PHOTOGRAPHS
Pupil Photo
*
Accepted file types: jpg.
Please upload a passport-style colour photograph of the pupil in JPG format and make sure that the name of the file is the pupil's name.
3in1 Card or proof of age for 16-19 years discount
*
Accepted file types: jpg.
Please upload a scanned copy of the front of the 3in1 card or proof of age for 16-19 years discount. This must clearly show the photograph and the card number for 3in1 card holders.
Consent
Signature of pupil
*
Please enter your name as you would sign it
Signature of parent/guardian
*
Please enter your name as you would sign it
I give my permission to Compass Travel to store the information as given on this form, plus photograph for issue of future school bus passes. Compass Travel will delete all records upon instruction.
*
I agree
Quantity
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Category:
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