TransitPin — Parent Registration

1

Parent / Guardian Information

Full Name

Relationship to Student

Phone Number

Alternate Phone

Email Address

Home Address

City

State

ZIP Code

Preferred Contact Method

Phone Call Text Message Email

2

Emergency Contacts

Emergency Contact 1

Contact Name

Relationship

Phone Number

Can This Person Pick Up Child?

Emergency Contact 2

Contact Name

Relationship

Phone Number

Can This Person Pick Up Child?

3

Student Information

Student 1

Student Full Name

Date of Birth

Grade

School Name

School Address

Has Allergies / Medical Conditions?

Medical Details

Has IEP / 504 Plan?

Route Selection

Transportation Need

Morning Pickup Afternoon Drop-off Both (Morning + Afternoon)

Pickup Address

Same as Home Address

Drop-off Address

Same as Home Address

Preferred Pickup Window

Preferred Drop-off Window

Student 2

Student Full Name

Date of Birth

Grade

School Name

School Address

Has Allergies / Medical Conditions?

Medical Details

Has IEP / 504 Plan?

Route Selection

Transportation Need

Morning Pickup Afternoon Drop-off Both (Morning + Afternoon)

Pickup Address

Same as Home Address

Drop-off Address

Same as Home Address

Preferred Pickup Window

Preferred Drop-off Window

Student 3

Student Full Name

Date of Birth

Grade

School Name

School Address

Has Allergies / Medical Conditions?

Medical Details

Has IEP / 504 Plan?

Route Selection

Transportation Need

Morning Pickup Afternoon Drop-off Both (Morning + Afternoon)

Pickup Address

Same as Home Address

Drop-off Address

Same as Home Address

Preferred Pickup Window

Preferred Drop-off Window

4

Billing

Payment Frequency

Weekly Bi-weekly Monthly

Payment Method

Credit/Debit Card ACH Bank Transfer Cash/Check

Card Number

Expiration

CVV

Billing Address

Same as Home Address

5

Agreements

I agree to the Transportation Agreement — including pickup/drop-off procedures, safety policies, and authorized guardian release protocols. I consent to the Photo / Media Release — allowing TransitPin to capture and use photos/video of my child for route safety, identification, and promotional purposes. I understand the Late Pickup Policy — a $15 late fee applies for pickups more than 10 minutes after the scheduled drop-off window, with escalation after 30 minutes.