Churchill Academy & Sixth Form Transport Request

Complete this form to request school transport for school year 2026/27

Bookings must be completed by 21/08/2026

Bookings are for authorised students only and NOT available to the general public.

To add multiple passengers, please complete the form for each passenger. Your form data will be saved for additional passenger bookings.

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Child Details

Child First Name

Child Surname

Child Email
Please enter your CHILD's email address. They will use this to log in to our App. If your child does not have an email, please enter a parent email and then request a physical pass

Child Mobile
Please enter your CHILD's mobile number. They will use this to log in to our App. If your child does not have a mobile phone, please enter a parent number and then request a physical pass

Child Date of Birth

Child Postcode

Which School Year will your child join in September?

Does the passenger require a physical card? Passengers can down load their pass to the Bakers Dolphin Passenger App or use their Apple or Google Wallet.

Yes

Passenger Notes

Passenger Photo (JPG, JPEG or PNG)
Please upload a clear head-and-shoulders photo in JPG, JPEG or PNG format.

Transport Service Details

Pickup Stop Your request can be made for any existing pick up point. We may add, remove or move stops, once demand has been established. If you do not find a convenient pick up point from the list, you may request alternative stops by using the Passenger Notes section below, please note that such requests are not guaranteed. Routes and pick up points will be finalised one all bookings have been received. View Stops on Map

Parent / Guardian Contacts

We will use these details when setting up the booking to notify and update you on the request status. We will also copy you in to any communications about our service.A 5% sibling discount will be automatically applied to subsequent bookings if more than one booking is made by the same parent. Please use the same email address in the Parent 1 Email field for each booking.

Parent 1 First Name

Parent 1 Surname

Parent 1 Email

Parent 1 Mobile

Parent 2 First Name

Parent 2 Surname

Parent 2 Email

Parent 2 Mobile

Payment Details

Pay in a single annual payment to receive a 5% discount.

Payment Option

Direct Debit Mandate Details

9 Installment payments will be taken on the 7th of the month from September to May. Single payments will be taken on 7th September

Account holder name

Sort code

Bank account number

I authorise Bakers Dolphin to take payments for school coach travel from this bank account.

I agree to the terms and conditions and the privacy policy