Clone of 2025-2026 Bronx Sci/HSAS Bus Contract

Transportation Service Contract 2026-2027

Bronx High School of Science and The High School of American Studies
Student Information
Attending School:*

Bronx High School of ScienceHigh School of American Studies
Student's Name*

First NameLast Name
Student's E-mail*

Confirmation Emailexample@example.com
Date of Birth*

MonthDayYear
Gender:*
Year Entering Sept. 2026*

9th Grade (Freshman)10th Grade (Sophomore)11th Grade (Junior)12th Grade (Senior)
Student's Cell Phone*
Format: (000) 000-0000.
Home Phone *
Please enter a valid phone number.Format: (000) 000-0000.
Primary Address*

Street Address

Street Address Line 2

CityState

Zip Code
Secondary Address

Street Address

Street Address Line 2

CityState

Zip Code
Please supply a current clear headshot photo of the student applicant on a white background. If a current photo is not yet available, place a placeholder image in the meanwhile and email the photo to info@sjtourbus.com once you have it. Please submit as either .jpeg, .jpg, or .png*

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Please write down your ID#:
Parent/Guardian(1) Information
Parent/Guardian's Name*

First NameLast Name
Relationship to Student*
Parent/Guardian's E-mail*

Confirmation Emailexample@example.com
Parent/Guardian's Cell*
Format: (000) 000-0000.
Emergency Contact (If Parent/Guardian cannot be reached)*
Emergency Phone*
Format: (000) 000-0000.
Parent/Guardian(2) Information
Parent/Guardian's Name

First NameLast Name
Relationship to Student
Parent/Guardian's E-mail

Confirmation Emailexample@example.com
Parent/Guardian's Cell
Format: (000) 000-0000.
Terms of Agreement
Today's Date*

MonthDayYear
Date
Print Name*

First NameLast Name
Signature*
Payment Information

Parent/Guardian listed above assumes primary responsibility for account maintenance.
Payment Option*

ACHCheckCredit Card
Zelle Payments
Instructions for Zelle/Quickpay Payments:

Name: S&J Tour & Bus Inc.

Email: sjtourbus@gmail.com

In Description: Please indicate your child's name, year and school.

Please Call: 718-921-4246 if there are any questions.
Select Your Service*

Early Bird: 1 Student Queens ($4198)Early Bird: 2 Students Queens ($7976.20)Early Bird: 1 Student Manhattan ($4398)Early Bird: 2 Students Manhattan ($8356.20)Payment Plan: 1 Student ($4978) Non-Refundable Deposit of $2478 due July 31, 2026. Five monthly payment of $500 due Sept. 1, 2026 thru Jan 1, 2027.Payment Plan: 2 Students ($9458.20) Non-Refundable Deposit of $4728.20 due July 31, 2026. Five monthly payment of $946 due Sept. 1, 2026 thru Jan 1, 2027.
Select Your Service*

1 Student Queens ($4580)2 Students Queens ($8702)1 Student Manhattan ($4780)2 Students Manhattan ($9082)Payment Plan: 1 Student ($4978) Non-Refundable Deposit of $2478 due July 31, 2026. Five monthly payment of $500 due Sept. 1, 2026 thru Jan 1, 2027.Payment Plan: 2 Students ($9458.20) Non-Refundable Deposit of $4728.20 due July 31, 2026. Five monthly payment of $946 due Sept. 1, 2026 thru Jan 1, 2027.
Select Your Service*

1 Student Queens ($4770)2 Students Queens ($9063)1 Student Manhattan ($4970)2 Students Manhattan ($9443)Payment Plan: 1 Student ($4978) Non-Refundable Deposit of $2478 due July 31, 2026. Five monthly payment of $500 due Sept. 1, 2026 thru Jan 1, 2027.Payment Plan: 2 Students ($9458.20) Non-Refundable Deposit of $4728.20 due July 31, 2026. Five monthly payment of $946 due Sept. 1, 2026 thru Jan 1, 2027.
ACH Payments
Select Your Service*

Early Bird: 1 Student Queens ($4198)Early Bird: 2 Students Queens ($7976.20)Early Bird: 1 Student Manhattan ($4398)Early Bird: 2 Students Manhattan ($8356.20)Payment Plan: 1 Student ($4978) Non-Refundable Deposit of $2478 due July 31, 2026. Five monthly payment of $500 due Sept. 1, 2026 thru Jan 1, 2027.Payment Plan: 2 Students ($9458.20) Non-Refundable Deposit of $4728.20 due July 31, 2026. Five monthly payment of $946 due Sept. 1, 2026 thru Jan 1, 2027.
Select Your Service*

1 Student Queens ($4580)2 Students Queens ($8702)1 Student Manhattan ($4780)2 Students Manhattan ($9082)Payment Plan: 1 Student ($4978) Non-Refundable Deposit of $2478 due July 31, 2026. Five monthly payment of $500 due Sept. 1, 2026 thru Jan 1, 2027.Payment Plan: 2 Students ($9458.20) Non-Refundable Deposit of $4728.20 due July 31, 2026. Five monthly payment of $946 due Sept. 1, 2026 thru Jan 1, 2027.
Select Your Service*

1 Student Queens ($4770)2 Students Queens ($9063)1 Student Manhattan ($4970)2 Students Manhattan ($9443)Payment Plan: 1 Student ($4978) Non-Refundable Deposit of $2478 due July 31, 2026. Five monthly payment of $500 due Sept. 1, 2026 thru Jan 1, 2027.Payment Plan: 2 Students ($9458.20) Non-Refundable Deposit of $4728.20 due July 31, 2026. Five monthly payment of $946 due Sept. 1, 2026 thru Jan 1, 2027.
Name(s) on Bank Account (Business name if used)*
Bank Name*
Routing Number*
Must be 9 numbers - no spaces
Account Number*
Must be 8-12 numbers - no spaces
Type of Bank Account:*

Personal CheckingPersonal SavingsBusiness CheckingBusiness SavingsOther
*

By signing this form, you give S&J Tour & Bus Inc. permission to debit your account for the amount indicated
Today's Date*

MonthDayYear
Date
Signature*
Check Payments
Please make the check payable to: S&J Tour & Bus Inc.

On the check memo, please indicate your child's name, year and school.

Please mail the original check to:

S&J Tour & Bus Inc.

Attn: Accounting

185 Canal St. 402, New York, NY 10013

Please upload a clear and colored image of the front and back of the check. (In case of delays/lost in mail.)

Please Call: 718-921-4246 if there are any questions.
Select Your Service*

Early Bird: 1 Student Queens ($4198)Early Bird: 2 Students Queens ($7976.20)Early Bird: 1 Student Manhattan ($4398)Early Bird: 2 Students Manhattan ($8356.20)Payment Plan: 1 Student ($4978) Non-Refundable Deposit of $2478 due July 31, 2026. Five monthly payment of $500 due Sept. 1, 2026 thru Jan 1, 2027.Payment Plan: 2 Students ($9458.20) Non-Refundable Deposit of $4728.20 due July 31, 2026. Five monthly payment of $946 due Sept. 1, 2026 thru Jan 1, 2027.
Select Your Service*

1 Student Queens ($4580)2 Students Queens ($8702)1 Student Manhattan ($4780)2 Students Manhattan ($9082)Payment Plan: 1 Student ($4978) Non-Refundable Deposit of $2478 due July 31, 2026. Five monthly payment of $500 due Sept. 1, 2026 thru Jan 1, 2027.Payment Plan: 2 Students ($9458.20) Non-Refundable Deposit of $4728.20 due July 31, 2026. Five monthly payment of $946 due Sept. 1, 2026 thru Jan 1, 2027.
Select Your Service*

1 Student Queens ($4770)2 Students Queens ($9063)1 Student Manhattan ($4970)2 Students Manhattan ($9443)Payment Plan: 1 Student ($4978) Non-Refundable Deposit of $2478 due July 31, 2026. Five monthly payment of $500 due Sept. 1, 2026 thru Jan 1, 2027.Payment Plan: 2 Students ($9458.20) Non-Refundable Deposit of $4728.20 due July 31, 2026. Five monthly payment of $946 due Sept. 1, 2026 thru Jan 1, 2027.
Front of the Check*

Cancelof
Back of the Check*

Cancelof
Credit Card Payments

Visa, Mastercard, Discover
Please contact info@sjtourbus.com for credit card authorization form if there are any issues submitting the online form. Thank you!
Select Your Service*

Early Bird: 1 Student Queens ($4198 + 3% processing fee 125.94 = $4323.94)Early Bird: 2 Students Queens ($7976.20 + 3% processing fee 239.29 = $8215.49)Early Bird: 1 Student Manhattan ($4398 + 3% processing fee 131.94 = $4529.94)Early Bird: 2 Students Manhattan ($8356.20 + 3% processing fee 250.69 = $8606.89)Payment Plan: 1 Student ($4978 + 3% processing fee 149.34 = $5127.34) Non-Refundable Deposit of $2552.34 due July 31, 2026. Five monthly payment of $515 due Sept. 1, 2026 thru Jan 1, 2027.Payment Plan: 2 Students ($9458.20 + 3% processing fee 283.75 = $9741.95) Non-Refundable Deposit of $4870.05 due July 31, 2026. Five monthly payment of $974.38 due Sept. 1, 2026 thru Jan 1, 2027.
Select Your Service*

1 Student Queens ($4580 + 3% processing fee 137.40 = $4717.40)2 Students Queens ($8702 + 3% processing fee 261.06 = $8963.06)1 Student Manhattan ($4780 + 3% processing fee 143.40 = 4923.40)2 Students Manhattan ($9082 + 3% processing fee 272.46 = 9354.46)Payment Plan: 1 Student ($4978 + 3% processing fee 149.34 = $5127.34) Non-Refundable Deposit of $2552.34 due July 31, 2026. Five monthly payment of $515 due Sept. 1, 2026 thru Jan 1, 2027.Payment Plan: 2 Students ($9458.20 + 3% processing fee 283.75 = $9741.95) Non-Refundable Deposit of $4870.05 due July 31, 2026. Five monthly payment of $974.38 due Sept. 1, 2026 thru Jan 1, 2027.
Click here to fill out the Credit Card form: https://www.sjtourbus.com/cc-form.

Once the form is completed, please email the form to info@sjtourbus.com

Thank you!

Select Your Service*

1 Student Queens

$4,580.00

2 Students Queens

$8,702.00

1 Student Manhattan

$4,780.00

2 Students Manhattan

$9,082.00

Subtotal

$0.00

Tax

$0.00

Total

$0.00

Credit Card

First Name

Last Name

Credit Card Number

Security Code

Expiration Month

Expiration Year

Billing Address

Street Address

Street Address Line 2

City

State / Province

Postal / Zip Code

Country

2025-26

Regular Price

Queens

4580

Sibling
8702

Manhattan

4780

Sibling
9082
Should be Empty:

Transportation Service Contract 2026-2027

Student Information

Parent/Guardian(1) Information

Parent/Guardian(2) Information

Terms of Agreement

Payment Information

Zelle Payments

ACH Payments

Check Payments

Credit Card Payments