Massachusetts Bay Transportation Authority

School/Group Trip Information Form

The MBTA is unable to provide special buses for events, but may add service to bus routes if needed to accommodate a group depending on staff availability.

The MBTA requires a two week notice prior to the date of trip. Feel free to contact the Revenue Department at Schooltrips@mbta.com.

Contact Name - First			Last
School Name
Address
City
State	Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Other Regions Pennsylvania Puerto Rico Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington Washington D.C. West Virginia Wisconsin Wyoming		Zipcode
Contact Telephone			Fax
E-mail
Person leading the group (if other than name above)
Date of Trip
Number of Students	age 11 years and younger		age 12 years and older
Number of Chaperones
	Round Trip		One way
Boarding Time	AM PM
Subway Station
Bus # and Street Stop
Destination
Return trip Boarding Time AM PM Boarding Location Final Destination
Additional comments Special needs