Sign Up For Service

Date*

School Name:*

Grade:*

Room:*

Child's Name*

First Last

Parent / Guardians Name*

First Last

Address*

Street Address City ZIP Code

Home Phone*

Work / Cell / Other Phone

Email*

Type Of Service:*

One Way
Two Way

Time Of Service

AM Service
PM Service

Payment Frequency:*

Bi-Weekly
Monthly

Payment Type:*

Check
Credit Card / Debit Card

Do You Want To Sign Up To Our Newsletter?*

Signing up for our newsletter is the easiest way to keep up to date on any changes to our services, new routes or schools and events!

Yes
No

Credit Card Information:

Please Note: If you prefer to pay via credit card, a 3.8% surcharge will be added.

Name On Card:*

First Last

Billing Address:*

Street Address City State ZIP Code

Card Type:*

**American Express is not accepted at this time.**

Visa
MasterCard
Discover

Card Number*

Expiration Month & Year*

3 Digit Security Code*

Covid-19 Waiver

WAIVER OF LIABILITY TO CORONAVIRUS/COVID-19*

I am responsible Before sending my child/ren on a bus, to screen my child health at home, including temperature checks, to make certain they are well enough to board a bus and attend school. I confirm that :
1. My Child/ren have not been diagnosed with COVID-19 in the past 2 weeks.
2. My Child/ren has not shown symptoms of COVID-19 or come in close contact with anyone exhibiting these symptoms in the past two weeks.
3. If my Child/ren begin to show symptoms of COVID-19 within the next two weeks,or has been exposed to someone with covid 19 I will not have my child ride the bus and I will contact ASTORIA EXPRESS TRANSIT, CORP.
4. My Child/ren do not have a cough ,fever ,chills, shortness of breath, or loss of taste or smell. If They have i will not allow them to ride the bus without a negative covid test
5. My Child/ren have not traveled outside of my immediate daily routine for the past two weeks.
6. My Child/ren and I will follow all posted school bus rules to keep myself , my driver and those around me safe.
7. My child/ren while riding school buses should follow health and safety guidelines at all times. Subject to fail to follow the safety rules may lead to cancelation of service

The novel coronavirus, COVID-19, was declared a worldwide pandemic by the World Health Organization. COVID-19 is extremely contagious. As a result, ASTORIA EXPRESS TRANSIT CORP has put into place preventative measures to reduce the likelihood of the spread of COVID-19 but are not held responsible if your child contracts the virus.

WAIVER OF LAWSUIT/LIABILITY: I hereby forever release and waive my right to bring suit against ASTORIA EXPRESS TRANSIT and its owners, employees, or other representatives in connection with exposure, infection, and/or spread of COVID-19 related to utilizing ASTORIA EXPRESS TRANSIT CORP’s services and premises. I understand that this waiver means I give up my right to bring any claims including for personal injuries, death, diseases or losses, or any other loss, including but not limited to claims of negligence and give up any claim I may have to seek damages, whether known or unknown, foreseen or unforeseen. I HAVE CAREFULLY READ AND FULLY UNDERSTAND ALL PROVISIONS OF THIS RELEASE, AND FREELY AND KNOWINGLY ASSUME THE RISK AND WAIVE THE RIGHTS CONCERNING LIABILITY AS DESCRIBED ABOVE I am the parent or legal guardian of the minor named above. I have the legal right to consent to and, I hereby consent to the term and conditions of this Release.

Terms Of Service:

Permission For Service:*
We accept credit or debit cards, cash, and checks, which can be made out to ASTORIA EXPRESS TRANSIT. We don’t accept American Express.

By filling out this form, you are giving us, Astoria Express Transit permission and authority to transport your child to and/or from the location you listed above. You agree and acknowledge that all payments are due IN ADVANCE AND BEFORE SERVICE IS RENDERED. You also agree Astoria Express Transit is not responsible for any lost or stolen items on one of our buses. Astoria Express Transit also reserves the right to cancel your child's service and/or recoup any fees ASSOCIATED WITH DEFACEMENT OR VANDALISM THAT YOUR CHILD HAS CAUSED, MISSED PAYMENTS OR MISBEHAVIOR FROM YOUR CHILD. If you fail to comply and agree to these terms of service, we cannot transport your child.

**Please Note: No cash refunds will be given for cancellation of service, only service credit.**

Other Notes:

CAPTCHA

Email
This field is for validation purposes and should be left unchanged.

If you’d like to have your child or children utilize our transportation services, please complete our 2 step process below.

Step 1

Please download and fill out the permission form below.
Once completed, please send it to us via email or our fax at 718-726-5668.

Step 2

Please fill out the sign up for service form below.

Sign Up Form

Credit Card Information:

Please Note: If you prefer to pay via credit card, a 3.8% surcharge will be added.

Covid-19 Waiver

Terms Of Service:

Sign Up For Service

If you’d like to have your child or children utilize our transportation services, please complete our 2 step process below.

Step 1

Please download and fill out the permission form below. Once completed, please send it to us via email or our fax at 718-726-5668.

Step 2

Please fill out the sign up for service form below.

Sign Up Form

Credit Card Information:

**Please Note: If you prefer to pay via credit card, a 3.8% surcharge will be added.**

Covid-19 Waiver

Terms Of Service:

Please download and fill out the permission form below.
Once completed, please send it to us via email or our fax at 718-726-5668.

Please Note: If you prefer to pay via credit card, a 3.8% surcharge will be added.