Common use of Round Trip Clause in Contracts

Round Trip. Please select location. One Way – Please select location. 1st Semester 2nd Semester 1st Semester 2nd Semester I-35 and Hwy 152 _ $1,565 $1,565 _ $980 $980 Hwy 152 and N. Oak _ $1,565 $1,565 _ $980 $980 I-29 and 64th St. _ $1,330 $1,330 _ $830 $830 US-169 at Briarcliff _ $1,195 $1,195 _ $745 $745 Please indicate your pick-up and/or ONE drop-off time and location per semester: 1ST Semester Pick-up Times: Drop-off Times: Stop Schedule: AM Early PM Late PM I-35 and Hwy 152 (Super Target Lot) 7:15 am _ 4:20 pm _ 6:40 pm Hwy 152 and X. Xxx (Verizon Lot) 7:20 am _ 4:15 pm _ 6:35 pm I-29 and 64th St. (Former Hen House Lot) 7:30 am _ 4:05 pm _ 6:25 pm US-169 at Briarcliff (Philly Time Lot) 7:40 am _ 3:55 pm _ 6:15 pm 2nd Semester Pick-up Times: Drop-off Times: Stop Schedule: AM Early PM Late PM I-35 and Hwy 152 (Super Target Lot) 7:15 am _ 4:20 pm _ 6:40 pm Hwy 152 and X. Xxx (Verizon Lot) 7:20 am _ 4:15 pm _ 6:35 pm I-29 and 64th St. (Former Hen House Lot) 7:30 am _ 4:05 pm _ 6:25 pm US-169 at Briarcliff (Philly Time Lot) 7:40 am _ 3:55 pm _ 6:15 pm Arrives at : Leaves Campus at: Xxxx Parkway Campus 8:05 am 3:30 pm 5:50 pm Wornall Campus 8:10 am 3:20 pm 5:45 pm 1st Semester charges will be billed to your account on July 1, and 2nd Semester charges on November 1. Please add the above fees to my PHS Monthly Pay plan, which runs from May through April. Cancellation Policy: A full refund will be given when participation is canceled in writing with the Business Office prior to: ◼ August 1 for First Semester ◼ December 1 for Second Semester No refund will be given after these dates. I agree to pay to The Pembroke Hill School the fees selected above. Signature: (Financially Responsible Parent / Guardian) Date:

Round Trip. Please select location. 1st Semester 2nd Semester One Way – Please select location. 1st Semester 2nd Semester 1st Semester 2nd Semester I-35 and Hwy 152 _ $1,565 1,375 $1,565 _ 1,375 $980 860 $980 860 Hwy 152 and N. Oak _ $1,565 1,375 $1,565 _ 1,375 $980 860 $980 860 I-29 and 64th St. _ $1,330 1,115 $1,330 _ 1,115 $830 695 $830 695 US-169 at Briarcliff _ $ 975 $ 975 $1,195 610 $1,195 _ $745 $745 610 Please indicate your pick-up and/or ONE drop-off time and location per semester: 1ST Semester Pick-up Times: Drop-off Times: Stop Schedule: AM Early PM Late PM I-35 and Hwy 152 (Super Target Lot) 7:15 6:50 am _ 4:20 4:10 pm _ 6:40 pm Hwy 152 and X. Xxx N. Oak (Verizon QT Lot) 7:20 6:55 am _ 4:15 4:05 pm _ 6:35 pm I-29 and 64th St. (Former Hen House Lot) 7:30 7:05 am _ 4:05 3:55 pm _ 6:25 pm US-169 at Briarcliff (Philly Time Lot) 7:40 7:15 am _ 3:55 3:45 pm _ 6:15 pm 2nd Semester Pick-up Times: Drop-off Times: Stop Schedule: AM Early PM Late PM I-35 and Hwy 152 (Super Target Lot) 7:15 6:50 am _ 4:20 4:10 pm _ 6:40 pm Hwy 152 and X. Xxx N. Oak (Verizon QT Lot) 7:20 6:55 am _ 4:15 4:05 pm _ 6:35 pm I-29 and 64th St. (Former Hen House Lot) 7:30 7:05 am _ 4:05 3:55 pm _ 6:25 pm US-169 at Briarcliff (Philly Time Lot) 7:40 7:15 am _ 3:55 3:45 pm _ 6:15 pm Arrives at at: Leaves Campus at: Xxxx Parkway Campus 8:05 7:40 am 3:30 3:20 pm 5:50 pm Wornall Campus 8:10 7:45 am 3:20 3:15 pm 5:45 pm 1st Semester charges will be billed to your account on July 1, and 2nd Semester charges on November 1. Please add the above fees to my PHS Monthly Pay plan, which runs from May through April. Cancellation Policy: A full refund will be given when participation is canceled in writing with the Business Office prior to: ◼  August 1 for First Semester ◼  December 1 for Second Semester No refund will be given after these dates. I agree to pay to The Pembroke Hill School the fees selected above. Signature: (Financially Responsible Parent / Guardian) Date:

Round Trip. Please select location. One Way – Please select location. 1st Semester 2nd Semester 1st Semester 2nd Semester I-35 and Hwy 152 _ $1,565 1,710 $1,565 1,710 _ $980 1,065 $980 1,065 Hwy 152 and N. Oak _ $1,565 1,710 $1,565 1,710 _ $980 1,065 $980 1,065 I-29 and 64th St. _ $1,330 1,455 $1,330 1,455 _ $830 910 _ $830 910 US-169 at Briarcliff _ $1,195 1,310 $1,195 1,310 _ $745 820 _ $745 820 Please indicate your pick-up and/or ONE drop-off time and location per semester: 1ST Semester Pick-up Times: Drop-off Times: Stop Schedule: AM Early PM Late PM I-35 and Hwy 152 (Super Target Lot) 7:15 am _ 4:20 pm _ 6:40 pm Hwy 152 and X. Xxx (Verizon Lot) 7:20 am _ 4:15 pm _ 6:35 pm I-29 and 64th St. (Former Hen House Lot) 7:30 am _ 4:05 pm _ 6:25 pm US-169 at Briarcliff (Philly Time Lot) 7:40 am _ 3:55 pm _ 6:15 pm 2nd Semester Pick-up Times: Drop-off Times: Stop Schedule: AM Early PM Late PM I-35 and Hwy 152 (Super Target Lot) 7:15 am _ 4:20 pm _ 6:40 pm Hwy 152 and X. Xxx (Verizon Lot) 7:20 am _ 4:15 pm _ 6:35 pm I-29 and 64th St. (Former Hen House Lot) 7:30 am _ 4:05 pm _ 6:25 pm US-169 at Briarcliff (Philly Time Lot) 7:40 am _ 3:55 pm _ 6:15 pm Arrives at : Leaves Campus at: Xxxx Parkway Campus 8:05 am 3:30 pm 5:50 pm Wornall Campus 8:10 am 3:20 pm 5:45 pm 1st Semester charges will be billed to your account on July 1, and 2nd Semester charges on November 1. Please add the above fees to my PHS Monthly Pay plan, which runs from May through April. Cancellation Policy: A full refund will be given when participation is canceled in writing with the Business Office prior to: ◼ August 1 for First Semester ◼ December 1 for Second Semester No refund will be given after these dates. I agree to pay to The Pembroke Hill School the fees selected above. Signature: (Financially Responsible Parent / Guardian) Date:

Round Trip. Please select location. One Way – Please select location. 1st Semester 2nd Semester 1st Semester 2nd Semester I-35 135 and Hwy 152 State Line _ $1,565 1,365 $1,565 1,365 _ $980 855 $980 Hwy 152 855 119th and N. Oak Nall _ $1,565 1,230 $1,565 1,230 _ $980 770 $980 I-29 770 103rd and 64th St. State Line _ $1,330 1,230 $1,330 1,230 _ $830 770 $830 US-169 at Briarcliff 770 80th and State Line _ $1,195 1,090 $1,195 1,090 _ $745 685 $745 685 Please indicate your pick-up and/or ONE drop-off time and location per semester: 1ST Semester Pick-up Times: Drop-off Times: Stop Schedule: AM Early PM Late PM I-35 135th and Hwy 152 (Super Target Lot) 7:15 am _ 4:20 pm _ 6:40 pm Hwy 152 and X. Xxx (Verizon Lot) 7:20 am _ 4:15 pm _ 6:35 pm I-29 and 64th St. (Former Hen House Lot) 7:30 State Line 7:25 am _ 4:05 pm _ 6:25 6:30 pm US-169 at Briarcliff 119th and Nall (Philly Time Panera Lot Next to AMC) 7:35 am _ 4:00 pm _ 6:20 pm 103rd and State Line. (Einstein Bros/CVS Lot) 7:40 7:45 am _ 3:55 pm _ 6:15 pm 80th and State Line (Subway Lot, by QT) 7:50 am _ 3:45 pm _ 6:05 pm 2nd Semester Stop Schedule: Pick-up Times: :AM Drop-off Times: Stop Schedule: AM Early PM Late PM I-35 135th and Hwy 152 (Super Target Lot) 7:15 am _ 4:20 pm _ 6:40 pm Hwy 152 and X. Xxx (Verizon Lot) 7:20 am _ 4:15 pm _ 6:35 pm I-29 and 64th St. (Former Hen House Lot) 7:30 State Line 7:25 am _ 4:05 pm _ 6:25 6:30 pm US-169 at Briarcliff 119th and Nall (Philly Time Panera Lot Next to AMC) 7:35am _ 4:00 pm _ 6:20 pm 103rd and State Line. (Einstein Bros/CVS Lot) 7:40 7:45 am _ 3:55 pm _ 6:15 pm 80th and State Line (Subway Lot, by QT) 7:50 am _ 3:45 pm _ 6:05 pm Arrives at at: Leaves Campus at: Xxxx Parkway Campus 8:05 8:20 am 3:30 pm 5:50 pm Wornall Campus 8:10 8:15 am 3:20 pm 5:45 pm 1st Semester charges will be billed to your account on July 1, and 2nd Semester charges on November 1. Please add the above fees to my PHS Monthly Pay plan, which runs from May through April. Cancellation Policy: A full refund will be given when participation is canceled in writing with the Business Office prior to: ◼ August 1 for First Semester ◼ December 1 for Second Semester No refund will be given after these dates. I agree to pay to The Pembroke Hill School the fees selected above. Signature: (Financially Responsible Parent / Guardian) Date:

Round Trip. Please select location. One Way – Please select location. 1st Semester 2nd Semester 1st Semester 2nd Semester I-35 and Hwy 152 _ $1,565 1,515 $1,565 1,515 _ $980 945 $980 945 Hwy 152 and N. Oak _ $1,565 1,515 $1,565 1,515 _ $980 945 $980 945 I-29 and 64th St. _ $1,330 1,275 $1,330 1,275 _ $830 795 $830 795 US-169 at Briarcliff _ $1,195 1,150 $1,195 1,150 _ $745 720 $745 720 Please indicate your pick-up and/or ONE drop-off time and location per semester: 1ST Semester Pick-up Times: Drop-off Times: Stop Schedule: AM Early PM Late PM I-35 and Hwy 152 (Super Target Lot) 7:15 am _ 4:20 pm _ 6:40 pm Hwy 152 and X. Xxx N. Oak (Verizon Lot) 7:20 am _ 4:15 pm _ 6:35 pm I-29 and 64th St. (Former Hen House Lot) 7:30 am _ 4:05 pm _ 6:25 pm US-169 at Briarcliff (Philly Time Lot) 7:40 am _ 3:55 pm _ 6:15 pm 2nd Semester Pick-up Times: Drop-off Times: Stop Schedule: AM Early PM Late PM I-35 and Hwy 152 (Super Target Lot) 7:15 am _ 4:20 pm _ 6:40 pm Hwy 152 and X. Xxx N. Oak (Verizon Lot) 7:20 am _ 4:15 pm _ 6:35 pm I-29 and 64th St. (Former Hen House Lot) 7:30 am _ 4:05 pm _ 6:25 pm US-169 at Briarcliff (Philly Time Lot) 7:40 am _ 3:55 pm _ 6:15 pm Arrives at at: Leaves Campus at: Xxxx Parkway Campus 8:05 am 3:30 pm 5:50 pm Wornall Campus 8:10 am 3:20 pm 5:45 pm 1st Semester charges will be billed to your account on July 1, and 2nd Semester charges on November 1. Please add the above fees to my PHS Monthly Pay plan, which runs from May through April. Cancellation Policy: A full refund will be given when participation is canceled in writing with the Business Office prior to: ◼ August 1 for First Semester ◼ December 1 for Second Semester No refund will be given after these dates. I agree to pay to The Pembroke Hill School the fees selected above. Signature: (Financially Responsible Parent / Guardian) Date:

Round Trip. Please select location. One Way – Please select location. 1st Semester 2nd Semester 1st Semester 2nd Semester 151st and Metcalf _ $1,365 $1,365 _ $855 $855 143rd and Xxxxxxx _ $1,365 $1,365 _ $855 $855 127th and Antioch _ $1,230 $1,230 _ $770 $770 College and Antioch _ $1,230 $1,230 _ $770 $770 I-35 and Hwy 152 SM Parkway _ $1,565 1,090 $1,565 1,090 _ $980 685 $980 Hwy 152 and N. Oak _ $1,565 $1,565 _ $980 $980 I-29 and 64th St. _ $1,330 $1,330 _ $830 $830 US-169 at Briarcliff _ $1,195 $1,195 _ $745 $745 685 Please indicate your pick-up and/or ONE drop-off time and location per semester: 1ST Semester Pick-up Times: Drop-off Times: Stop Schedule: AM Early PM Late PM I-35 151st and Hwy 152 Metcalf (Super Target Price Chopper Lot) 7:15 am _ 4:20 pm _ 6:40 pm Hwy 152 and X. Xxx (Verizon Lot) 7:20 7:30 am _ 4:15 pm _ 6:35 pm I-29 143rd and 64th St. Metcalf (Former Hen House Tanners Lot) 7:30 7:40 am _ 4:05 pm _ 6:25 6:30 pm US-169 at Briarcliff 127th and Antioch (Philly Time CVS Pharmacy Lot) 7:40 7:50 am _ 4:00 pm _ 6:20 pm College and Antioch (Burger King Lot) 7:55 am _ 3:55 pm _ 6:15 pm I-35 and SM Parkway (Krispy Kreme Lot) 8:05 am _ 3:45 pm _ 6:05 pm 2nd Semester Pick-up Times: Drop-off Times: Stop Schedule: AM Early PM Late PM I-35 151st and Hwy 152 Metcalf (Super Target Price Chopper Lot) 7:15 am _ 4:20 pm _ 6:40 pm Hwy 152 and X. Xxx (Verizon Lot) 7:20 7:30 am _ 4:15 pm _ 6:35 pm I-29 143rd and 64th St. Metcalf (Former Hen House Tanners Lot) 7:30 7:40 am _ 4:05 pm _ 6:25 6:30 pm US-169 at Briarcliff 127th and Antioch (Philly Time CVS Pharmacy Lot) 7:40 7:50 am _ 4:00 pm _ 6:20 pm College and Antioch (Burger King Lot) 7:55 am _ 3:55 pm _ 6:15 pm I-35 and SM Parkway (Krispy Kreme Lot) 8:05 am _ 3:45 pm _ 6:05 pm Arrives at : Leaves Campus at: Xxxx Parkway Campus 8:05 8:20 am 3:30 pm 5:50 pm Wornall Campus 8:10 8:15 am 3:20 pm 5:45 pm 1st Semester charges will be billed to your account on July 1, and 2nd Semester charges on November 1. Please add the above fees to my PHS Monthly Pay plan, which runs from May through April. Cancellation Policy: A full refund will be given when participation is canceled in writing with the Business Office prior to: ◼ August 1 for First Semester ◼ December 1 3 for Second Semester No refund will be given after these dates. I agree to pay to The Pembroke Hill School the fees selected above. Signature: (Financially Responsible Parent / Guardian) Date:

Round Trip. Please select location. One Way – Please select location. 1st Semester 2nd Semester 1st Semester 2nd Semester I-35 135 and Hwy 152 State Line _ $1,565 1,250 $1,565 1,250 _ $980 785 $980 Hwy 152 785 119th and N. Oak Nall _ $1,565 1,125 $1,565 1,125 _ $980 705 $980 I-29 705 103rd and 64th St. State Line _ $1,330 1,125 $1,330 1,125 _ $830 705 $830 US-169 at Briarcliff 705 80th and State Line _ $1,195 1,000 $1,195 1,000 _ $745 625 $745 625 Please indicate your pick-up and/or ONE drop-off time and location per semester: 1ST Semester Pick-up Times: Drop-off Times: Stop Schedule: AM Early PM Late PM I-35 135th and Hwy 152 (Super Target Lot) State Line 7:15 am _ 4:20 pm _ 6:40 pm Hwy 152 and X. Xxx (Verizon Lot) 7:20 am _ 4:15 pm _ 6:35 pm I-29 and 64th St. (Former Hen House Lot) 7:30 am _ 4:05 pm _ 6:25 6:30 pm US-169 at Briarcliff 119th and Nall (Philly Time Panera Lot Next to AMC) 7:25 am _ 4:00 pm _ 6:20 pm 103rd and State Line. (Einstein Bros/CVS Lot) 7:40 7:35 am _ 3:55 pm _ 6:15 pm 80th and State Line (Subway Lot, by QT) 7:40 am _ 3:45 pm _ 6:05 pm 2nd Semester Stop Schedule: Pick-up Times: :AM Drop-off Times: Stop Schedule: AM Early PM Late PM I-35 135th and Hwy 152 (Super Target Lot) State Line 7:15 am _ 4:20 pm _ 6:40 pm Hwy 152 and X. Xxx (Verizon Lot) 7:20 am _ 4:15 pm _ 6:35 pm I-29 and 64th St. (Former Hen House Lot) 7:30 am _ 4:05 pm _ 6:25 6:30 pm US-169 at Briarcliff 119th and Nall (Philly Time Panera Lot Next to AMC) 7:25am _ 4:00 pm _ 6:20 pm 103rd and State Line. (Einstein Bros/CVS Lot) 7:40 7:35 am _ 3:55 pm _ 6:15 pm 80th and State Line (Subway Lot, by QT) 7:40 am _ 3:45 pm _ 6:05 pm Arrives at at: Leaves Campus at: Xxxx Parkway Campus 8:05 am 3:30 pm 5:50 pm Wornall Campus 8:10 am 3:20 pm 5:45 pm 1st Semester charges will be billed to your account on July 1, and 2nd Semester charges on November 1. Please add the above fees to my PHS Monthly Pay plan, which runs from May through April. Cancellation Policy: A full refund will be given when participation is canceled in writing with the Business Office prior to: ◼ August 1 for First Semester ◼ December 1 for Second Semester No refund will be given after these dates. I agree to pay to The Pembroke Hill School the fees selected above. Signature: (Financially Responsible Parent / Guardian) Date:

Round Trip. Please select location. 1st Semester 2nd Semester One Way – Please select location. 1st Semester 2nd Semester 1st Semester 2nd Semester I-35 and Hwy 152 _ $1,565 1,470 $1,565 1,470 _ $980 920 $980 920 Hwy 152 and N. Oak _ $1,565 1,470 $1,565 1,470 _ $980 920 $980 920 I-29 and 64th St. _ $1,330 1,235 $1,330 1,235 _ $830 770 $830 770 US-169 at Briarcliff _ $1,195 1,110 $1,195 1,110 _ $745 695 $745 695 Please indicate your pick-up and/or ONE drop-off time and location per semester: 1ST Semester Pick-up Times: Drop-off Times: Stop Schedule: AM Early PM Late PM I-35 and Hwy 152 (Super Target Lot) 7:15 6:50 am _ 4:20 4:10 pm _ 6:40 pm Hwy 152 and X. Xxx N. Oak (Verizon QT Lot) 7:20 6:55 am _ 4:15 4:05 pm _ 6:35 pm I-29 and 64th St. (Former Hen House Lot) 7:30 7:05 am _ 4:05 3:55 pm _ 6:25 pm US-169 at Briarcliff (Philly Time Lot) 7:40 7:15 am _ 3:55 3:45 pm _ 6:15 pm 2nd Semester Pick-up Times: Drop-off Times: Stop Schedule: AM Early PM Late PM I-35 and Hwy 152 (Super Target Lot) 7:15 6:50 am _ 4:20 4:10 pm _ 6:40 pm Hwy 152 and X. Xxx N. Oak (Verizon QT Lot) 7:20 6:55 am _ 4:15 4:05 pm _ 6:35 pm I-29 and 64th St. (Former Hen House Lot) 7:30 7:05 am _ 4:05 3:55 pm _ 6:25 pm US-169 at Briarcliff (Philly Time Lot) 7:40 7:15 am _ 3:55 3:45 pm _ 6:15 pm Arrives at at: Leaves Campus at: Xxxx Parkway Campus 8:05 7:40 am 3:30 3:20 pm 5:50 pm Wornall Campus 8:10 7:45 am 3:20 3:15 pm 5:45 pm 1st Semester charges will be billed to your account on July 1, and 2nd Semester charges on November 1. Please add the above fees to my PHS Monthly Pay plan, which runs from May through April. Cancellation Policy: A full refund will be given when participation is canceled in writing with the Business Office prior to: ◼ August 1 for First Semester ◼ December 1 3 for Second Semester No refund will be given after these dates. I agree to pay to The Pembroke Hill School the fees selected above. Signature: (Financially Responsible Parent / Guardian) Date:

Round Trip. Please select location. One Way – Please select location. 1st Semester 2nd Semester 1st Semester 2nd Semester I-35 and Hwy 152 _ $1,565 1,675 $1,565 1,675 _ $980 1,045 $980 1,045 Hwy 152 and N. Oak _ $1,565 1,675 $1,565 _ 1,675 $980 1,045 $980 1,045 I-29 and 64th St. _ $1,330 1,425 $1,330 1,425 _ $830 890 $830 890 US-169 at Briarcliff _ $1,195 1,285 $1,195 _ 1,285 $745 805 $745 805 Please indicate your pick-up and/or ONE drop-off time and location per semester: 1ST Semester Pick-up Times: Drop-off Times: Stop Schedule: AM Early PM Late PM I-35 and Hwy 152 (Super Target Lot) 7:15 am _ 4:20 pm _ 6:40 pm Hwy 152 and X. Xxx (Verizon Lot) 7:20 am _ 4:15 pm _ 6:35 pm I-29 and 64th St. (Former Hen House Lot) 7:30 am _ 4:05 pm _ 6:25 pm US-169 at Briarcliff (Philly Time Lot) 7:40 am _ 3:55 pm _ 6:15 pm 2nd Semester Pick-up Times: Drop-off Times: Stop Schedule: AM Early PM Late PM I-35 and Hwy 152 (Super Target Lot) 7:15 am _ 4:20 pm _ 6:40 pm Hwy 152 and X. Xxx (Verizon Lot) 7:20 am _ 4:15 pm _ 6:35 pm I-29 and 64th St. (Former Hen House Lot) 7:30 am _ 4:05 pm _ 6:25 pm US-169 at Briarcliff (Philly Time Lot) 7:40 am _ 3:55 pm _ 6:15 pm Arrives at : Leaves Campus at: Xxxx Parkway Campus 8:05 am 3:30 pm 5:50 pm Wornall Campus 8:10 am 3:20 pm 5:45 pm 1st Semester charges will be billed to your account on July 1, and 2nd Semester charges on November 1. Please add the above fees to my PHS Monthly Pay plan, which runs from May through April. Cancellation Policy: A full refund will be given when participation is canceled in writing with the Business Office prior to: ◼ August 1 for First Semester ◼ December 1 for Second Semester No refund will be given after these dates. I agree to pay to The Pembroke Hill School the fees selected above. Signature: (Financially Responsible Parent / Guardian) Date:

Round Trip. Please select location. One Way – Please select location. 1st Semester 2nd Semester 1st Semester 2nd Semester I-35 143rd and Hwy 152 Metcalf _ $1,565 1,210 $1,565 1,210 _ $980 755 $980 Hwy 152 755 135th and N. Oak State Line _ $1,565 1,210 $1,565 1,210 _ $980 755 $980 I-29 755 119th and 64th St. Nall _ $1,330 1,090 $1,330 1,090 _ $830 680 $830 US-169 at Briarcliff 680 103rd and State Line _ $1,195 1,090 $1,195 1,090 _ $745 680 $745 680 80th and State Line _ $ 970 $ 970 _ $605 $605 Please indicate your pick-up and/or ONE drop-off time and location per semester: an 1ST Semester Pick-up Times: d location per semester: Drop-off Times: Stop Schedule: AM Early PM Late PM I-35 135th and Hwy 152 State Line (Super Target Lowes Lot) 7:15 am _ 4:20 pm _ 6:40 pm Hwy 152 143rd and X. Xxx Metcalf (Verizon Lot) 7:20 am _ 4:15 pm _ 6:35 pm I-29 and 64th St. (Former Hen House Tanners Lot) 7:30 am _ 4:05 pm _ 6:25 pm US-169 at Briarcliff 119th and Nall (Philly Time LotPanera Lot next to AMC) 7:40 am _ 3:55 pm 6:15 pm 103rd and State Line (CVS Lot) 7:50 am _ 6:15 3:45 pm 6:05 pm 80th and State Line (Subway Lot, by QT) 7:55 am _ 3:40 pm 6:00 pm 2nd Semester Pick-up Times: Drop-off Times: Stop Schedule: AM Early PM Late PM I-35 135th and Hwy 152 State Line (Super Target Lowes Lot) 7:15 am _ 4:20 pm _ 6:40 pm Hwy 152 143rd and X. Xxx Metcalf (Verizon Lot) 7:20 am _ 4:15 pm _ 6:35 pm I-29 and 64th St. (Former Hen House Tanners Lot) 7:30 am _ 4:05 pm _ 6:25 pm US-169 at Briarcliff 119th and Nall (Philly Time LotPanera Lot next to AMC) 7:40 am _ 3:55 pm _ 6:15 pm 103rd and State Line (CVS Lot) 7:50 am _ 3:45 pm 6:05 pm 80th and State Line (Subway Lot, by QT) 7:55 am _ 3:40 pm 6:00 pm Arrives at at: Leaves Campus at: Xxxx Parkway Campus 8:05 am 3:30 pm 5:50 pm Wornall Campus 8:10 am 3:20 pm 5:45 pm 1st Semester charges will be billed to your account on July 1, and 2nd Semester charges on November 1. Please add the above fees to my PHS Monthly Pay plan, which runs from May through April. Cancellation Policy: A full refund will be given when participation is canceled in writing with the Business Office prior to: ◼ August 1 for First Semester ◼ December 1 for Second Semester No refund will be given after these dates. I agree to pay to The Pembroke Hill School the fees selected above. Signature: (Financially Responsible Parent / Guardian) Date:

Round Trip. Please select location. One Way – Please select location. 1st Semester 2nd Semester 1st Semester 2nd Semester 151st and Metcalf _ $1,340 $1,340 _ $840 $840 143rd and Xxxxxxx _ $1,340 $1,340 _ $840 $840 127th and Antioch _ $1,205 $1,205 _ $755 $755 College and Antioch _ $1,205 $1,205 _ $755 $755 I-35 and Hwy 152 SM Parkway _ $1,565 1,070 $1,565 1,070 _ $980 670 $980 Hwy 152 and N. Oak _ $1,565 $1,565 _ $980 $980 I-29 and 64th St. _ $1,330 $1,330 _ $830 $830 US-169 at Briarcliff _ $1,195 $1,195 _ $745 $745 670 Please indicate your pick-up and/or ONE drop-off time and location per semester: 1ST Semester Pick-up Times: Drop-off Times: Stop Schedule: AM Early PM Late PM I-35 151st and Hwy 152 Metcalf (Super Target Price Chopper Lot) 7:15 am _ 4:20 pm _ 6:40 pm Hwy 152 and X. Xxx (Verizon Lot) 7:20 7:30 am _ 4:15 pm _ 6:35 pm I-29 143rd and 64th St. Metcalf (Former Hen House Tanners Lot) 7:30 7:40 am _ 4:05 pm _ 6:25 6:30 pm US-169 at Briarcliff 127th and Antioch (Philly Time CVS Pharmacy Lot) 7:40 7:50 am _ 4:00 pm _ 6:20 pm College and Antioch (Burger King Lot) 7:55 am _ 3:55 pm _ 6:15 pm I-35 and SM Parkway (Krispy Kreme Lot) 8:05 am _ 3:45 pm _ 6:05 pm 2nd Semester Pick-up Times: Drop-off Times: Stop Schedule: AM Early PM Late PM I-35 151st and Hwy 152 Metcalf (Super Target Price Chopper Lot) 7:15 am _ 4:20 pm _ 6:40 pm Hwy 152 and X. Xxx (Verizon Lot) 7:20 7:30 am _ 4:15 pm _ 6:35 pm I-29 143rd and 64th St. Metcalf (Former Hen House Tanners Lot) 7:30 7:40 am _ 4:05 pm _ 6:25 6:30 pm US-169 at Briarcliff 127th and Antioch (Philly Time CVS Pharmacy Lot) 7:40 7:50 am _ 4:00 pm _ 6:20 pm College and Antioch (Burger King Lot) 7:55 am _ 3:55 pm _ 6:15 pm I-35 and SM Parkway (Krispy Kreme Lot) 8:05 am _ 3:45 pm _ 6:05 pm Arrives at : Leaves Campus at: Xxxx Parkway Campus 8:05 8:20 am 3:30 pm 5:50 pm Wornall Campus 8:10 8:15 am 3:20 pm 5:45 pm 1st Semester charges will be billed to your account on July 1, and 2nd Semester charges on November 1. Please add the above fees to my PHS Monthly Pay plan, which runs from May through April. Cancellation Policy: A full refund will be given when participation is canceled in writing with the Business Office prior to: ◼ August 1 for First Semester ◼ December 1 3 for Second Semester No refund will be given after these dates. I agree to pay to The Pembroke Hill School the fees selected above. Signature: (Financially Responsible Parent / Guardian) Date:

Round Trip. Please select location. 1st Semester 2nd Semester One Way – Please select location. 1st Semester 2nd Semester 1st Semester 2nd Semester I-35 135th and Hwy 152 State Line _ $1,565 1,175 $1,565 1,175 _ $980 735 $980 Hwy 152 735 119th and N. Oak Nall _ $1,565 1,060 $1,565 1,060 _ $980 665 $980 I-29 665 103rd and 64th St. State Line _ $1,330 1,060 $1,330 1,060 _ $830 665 $830 US-169 at Briarcliff 665 80th and State Line _ $ 945 $ 945 _ $1,195 590 $1,195 _ $745 $745 590 Please indicate your pick-up and/or ONE drop-off time and location per semester: 1ST Semester Pick-up Times: Drop-off Times: Stop Schedule: AM Early PM Late PM I-35 135th and Hwy 152 State Line (Super Target Lowes Lot) 7:00 am _ 4:00 pm 6:30 pm 119th and Nall (Panera Lot next to AMC) 7:15 am _ 4:20 3:45 pm _ 6:40 6:15 pm Hwy 152 103rd and X. Xxx State Line (Verizon Einstein Bros/CVS Lot) 7:20 7:25 am _ 4:15 3:35 pm _ 6:35 6:05 pm I-29 80th and 64th St. State Line (Former Hen House Subway Lot, by QT) 7:30 am _ 4:05 3:30 pm _ 6:25 pm US-169 at Briarcliff (Philly Time Lot) 7:40 am _ 3:55 pm _ 6:15 6:00 pm 2nd Semester Pick-up Times: Drop-off Times: Stop Schedule: AM Early PM Late PM I-35 135th and Hwy 152 State Line (Super Target Lowes Lot) 7:00 am _ 4:00 pm 6:30 pm 119th and Nall (Panera Lot next to AMC) 7:15 am _ 4:20 3:45 pm _ 6:40 6:15 pm Hwy 152 103rd and X. Xxx State Line (Verizon Einstein Bros/CVS Lot) 7:20 7:25 am _ 4:15 3:35 pm _ 6:35 6:05 pm I-29 80th and 64th St. State Line (Former Hen House Subway Lot, by QT) 7:30 am _ 4:05 3:30 pm _ 6:25 pm US-169 at Briarcliff (Philly Time Lot) 7:40 am _ 3:55 pm _ 6:15 6:00 pm Arrives at at: Leaves Campus at: Xxxx Parkway Campus 8:05 7:40 am 3:30 3:20 pm 5:50 pm Wornall Campus 8:10 7:45 am 3:20 3:15 pm 5:45 pm 1st Semester charges will be billed to your account on July 1, and 2nd Semester charges on November 1. Please add the above fees to my PHS Monthly Pay plan, which runs from May through April. Cancellation Policy: A full refund will be given when participation is canceled in writing with the Business Office prior to: ◼ August 1 for First Semester ◼ December 1 3 for Second Semester No refund will be given after these dates. I agree to pay to The Pembroke Hill School the fees selected above. Signature: (Financially Responsible Parent / Guardian) Date: