Explore UT - The Biggest Open House in Texas on Satuday, March 2, 2013Bus Registration

To register, complete and submit the following form:

Name of School:
 
Type of School:
 
Name of School District:
 
Region Number:
 
Are you a Title 1 School? yes no
 
New to Explore UT: yes no
 
School Related Program?
 
 
 
Name of Primary Contact:
 
Title of Primary Contact:
 
 
Mailing Address:
 
City:
 
State:
 
Zip Code:
 
Phone Number:
(111-111-1111)
 
Fax Number:
(111-111-1111)
 
Email Address:


Estimated Number of Buses:
 
Estimated Number of Vans:
 
Estimated Number of Students to be Transported:
 
Estimated Number of Adults to be Transported:
 
Grade Levels of Students
(hold the control key to select multiple values):
 
Primary Language of Students:
 
Primary Language of Adults:
 
Approximate Arrival Time:

Will you be leaving before the programs ends at 5p.m.?

yes no

Will your bus be dropping off students and leaving campus rather than parking?

yes no

Please provide the name, e-mail address and phone number of your school/district transportation coordinator:

First Name:
Last Name:
Email:
Phone Number:
(111-111-1111)
Not Applicable


If you have questions, or if you need to change or cancel your registration, please
notify Kathy Fries.