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Annual Youth Pass Application

  1. Please note, this form is intended to be filled out by Dubuque Community Schools or Holy Family School District employees on behalf of the student rider.
  2. Jule Transit annual youth passes are renewable each year. Students must pay the annual fee to receive access each year. Annual youth passes are non-transferable, non-refundable, and not pro-rated and are valid August 1 to July 31.

    **Students must abide by The Jule’s Passenger Code of Conduct which is available at or risk suspension of service.

  3. Please check the appropriate box:*
  4. Youth (Cardholder) Information
  5. Please read and check the box below:

    I certify that the above information is true and correct. I understand my card is non-transferable and non-refundable and is valid August 1 through July 31. I recognize I must abide by The Jule’s Passenger Code of Conduct or risk losing or limiting my bus privileges. 

  6. Leave This Blank:

  7. This field is not part of the form submission.