Registration Form


This form is used as a pre-registration. After receipt, you will be contacted by our office to determine space availability and complete the registration process. Please note, we require a $35 non-refundable registration fee per family, per year. This will secure your child(ren)'s seat on the shuttle. Please contact us if you have any questions at (972) 987-0346.

Parents Infomation
Parent or Guardian 1 *
Parent or Guardian 1
Parent or Guardian 2
Parent or Guardian 2
Cell Phone 1 *
Cell Phone 1
Cell Phone 2
Cell Phone 2
This will allow for text notifications
Billing Address *
Billing Address
Child Information
Child Name *
Child Name
If more than one student is needing services
Birth Date *
Birth Date
Drop Off Address
Drop Off Address
If different from billing address
Medical and Other
Insurance Information
IN CASE OF EMERGENCY
Subscriber’s Name *
Subscriber’s Name
Subscriber’s Birthdate *
Subscriber’s Birthdate
Work Phone *
Work Phone
In Case of an Emergency
We will contact the parents first, this information will be used if we are unable to reach the above parties
Authorized on Account *
Authorized on Account
NOT LIVING AT SAME ADDRESS
Contact Number *
Contact Number
Create An Account
door2doorshuttle.com/
Statement of Compliance *
Check as a Statement of Compliance
Example: All transportation agreements are based on a 10 month contract and require a 30 day notice before a change can be made by either party.
Today's Date *
Today's Date
Start Date Requested
Start Date Requested