Beaver Bus Entitled Reservation Form 24/25

This form is for Entitled students ONLY.

If you have not had your entitlement confirmed by the Local Authority, then please contact them on TransportAssessments@leics.gov.uk before completing this form.

    * Students First Name:
    * Students Surname:
    * Gender:
    * Address Line 1:
    * Address Line 2:
    * Village:
    * County:
    * Postcode:
    * Parent Name:
    * School:
    Bus Stop:
    Bus Stop:
    Bus Stop:
    Bus Stop:
    Bus Stop:
    * Year Group:
    * Telephone 1:
    * Telephone 2:
    * Email:
    * Select Year of Travel:
    * I am applying for a place for an Entitled student through the Local Authority:
    * I Agree to Terms & Conditions:
    * I Agree to Code of Conduct:
    * Upload a clear Photo of students face for Buss Pass ID (JPEG format):