Transport Booking Form Please complete all fields below. Please note, spaces are allocated on a first come first served basis. Student Surname Student Forename Student Date of Birth (if no calendar is present, use the format yyyy-mm-dd) Student Year Group 10111213 Academic Year Required 2018/192019/202020/21 Please note - StageCoach services are bought directly from StageCoach. Service and Stop Name Requested ---UTC2001: Mawsley: The Green, Boughton RoadUTC2001: Kettering: Rothwell Road KGHUTC2001: Kettering: St Marys HospitalUTC2001: Kettering: Wicksteed Park, Pytchley Rd/Barton RdUTC2001: Irthlingborough: Nene Park, o/s NS Clinic Attlee WayUTC2001: Wellingborough: Morrisons, Oxford Road Bus ShelterUTC2001: Wellingborough: Duke of YorkUTC2001: Earls Barton: SquareUTC2002: Banbury: Horse Fair opp. OdeonUTC2002: Banbury: MorrisonsUTC2002: Middleton Cheney: LibraryUTC2002: GreatworthUTC2004: Brixworth: Northampton Rd/ Saxon HeightUTC2004: Spratton: Brixworth RoadUTC2004: Kingsthorpe: Welford Road/Windmill PubUTC2004: Kingsthorpe: Mill Lane Bus Stop (opp Cock Hotel)UTC2004: New Duston: Quarry Road opp POUTC2004: Duston: Main StreetUTC2004: Sixfields: Bus ShelterUTC2004: Pineham Locks: Banbury LaneUTC2004: Rothersthorpe: Corner Mumford DriveUTC2004: Kislingbury: Opposite Mill LaneUTC2004: Bugbrooke: Outside Bugbrooke Primary School – corner Church Lane / High StUTC2004: Cornhill: Gravel Layby – just past Cornhill Manor turnUTC2004: Pattishall: o/s Palash Bari RestaurantOther routes: Purchase direct from StageCoach The annual cost of the bus is spread evenly5 across the 3 terms. Therefore this charge is an annual charge, whether you are using the service or not, in the same way you would purchase a season ticket for the train. We do not issue any refunds for the weeks that students are not at the UTC. If you fall behind with payments, we reserve the right to restrict access to the service. Single Payment - the cost of a single one-off payment if made to the UTC by the 30th September 2017. If not, termly costs apply. (Please see full timetable online for details) Termly Paid - costs should be divided into three equal payments due at the start of each term: September 2017, January 2018 & April 2018. (Please see full timetable on line for details) Please contact the school if you wish to discuss any other payment options. We only accept payment via bank transfer or standing orders to our Barclays account, the details of which are below. In the reference for the transaction, please use the student name, route number AND stop name so that we can track your payments. For example, Neil Patterson, who is using UTC2001 from London Road, Wellingborough, could be abbreviated to “PattersonN_2001_LondonRd” There may be restrictions on the number of characters you can use, so please use the space intelligently to communicate as much information as possible. Account Name: Silverstone Academy Trust Sort code: 20-61-51 Account Number: 93591204 Barclays Bank, Wellingborough Road, Northampton Parent Name Contact Email Contact Telephone Date "I commit to using the service indicated above at the price shown for the academic year, and will pay in full or termly in advance for this service." If your child does not start at the UTC, this commitment is not binding, and any payment made in advance will be refunded. If you have any queries, please contact NeilHopkins@utc-silverstone.co.uk Neil Hopkins, Business Manager, Silverstone UTC, Silverstone Circuit, Silverstone, Northants NN12 8TL.