Bus Transportation Reservation

Bus Transportation Registration Form - Bursary Students

Bus Transportation Program

Date of Registration

Student First Name

Student Last Name

Parental Email Address

Parental Email Address - please re-enter your email address a second time

Primary Street Address

Secondary Street Address (If Required)

Please select the semester(s) in which you require bus service.

Semester 1 (September - January)
Semester 2 (February - June)

Bus service required (please check one of the following)
For one way service you must choose AM or PM.

  Within the city of Regina - both ways
  Within the city of Regina - one way service - AM
  Within the city of Regina - one way service - PM
  White City - both ways
  White City - one way service - AM
  White City - one way service - PM

Please enter the grade your student will be in when your bus service starts.

Personal information on this form is collected pursuant to the Personal Information Protection and Electronic Documents Act (“PIPEDA”). Luther College Regina will use your personal information for all administrative and academic matters.

Your information will remain confidential, and will only be used or disclosed for internal purposes and as authorized under PIPEDA. Should you have any questions about the collection of information, please contact Luther College High School at 1.306.757.7399.