Registration Information
Please fill out a registration form and fax it to: 752-9555 or email it to deda@berentecompanies.com. The form is on the last page of the website. Everyone has to have a registration form including emergency pass users for the protection of each student. Registration fee is
The following is a link to open the Registration form to print: Registration Form
A copy of the form is provided below should you need it:
Registration Form - 2008-09 School Year
Parochial Commuter Service of Baton Rouge, L.L.C.
4608 Jones Creek Rd. #250
Baton Rouge, LA 70817
(225-752-8772 or 752-0226)
Parent's Name(s): __________________________________________________
Address: ___________________________ City: ________________ Zip: _______________
Phone: (Home) _________________ (Work-Mom) _________________ (Work-Dad) _________________
Cell/beeper #'s - Mom: ____________ Dad: _____________
e-mail Address: _________________________________________________
Emergency Contact: _________________________ Phone: (Home) _________________ (Work) ___________
Cell/Beeper: ____________________ Relationship to Rider: ______________________________
(If there is any other contact information you feel is important, feel free to use the back)
Please register my child/children for transportation to the school listed below. Enclosed is my $______ registration fee ($85 per child, family maximum of $200). I understand that my monthly service fees are due on the 1st of each month, a $5 late fee per child will be added to my monthly fee if not received by the 5th of the month, and that my child will not be allowed to ride the bus if the monthly fee and late fee are not received by the 10th of the month. By my signature below, I agree to these terms and furthermore pledge that my child/children will abide by the rules of conduct set forth by PAROCHIAL COMMUTER SERVICE OF BATON ROUGE, L.L.C. (See enclosed rules of conduct). I understand that there are variations in bus service because of emergency mechanical problems without any refunds of fees.
__________________________________________________
Parent's Signature(s) Date
Student's Name_________________ Date of Birth________ School_________________________ Grade______________
Describe any medical problems of which the bus driver should be aware:
__________________________________________________________________________________
__________________________________________________________________________________
Pick-up Site - AM: _____________________________ Drop-off PM:____________________________________
Check One: Round Trip_____ AM-One way_____ PM-One way_____ Emergency Ride Coupons_____