Springs of Life Children's Center (SLCC) Transportation Request Form
This form must be filled out for EACH CHILD that you are requesting transportation for. Please fill out this form completely. A member of our team will follow-up via email within 2 business days to approve or deny your request.
Submitting this form does not guarantee transportation or enrollment at SLCC. After receiving an approval email in response to this request, you must confirm a start date with the Enrollment Team.
Also, we cannot transport children under the age of 5, and do not provide transportation for children in half-day kindergarten programs.
Parent/Guardian Last Name: *
Your answer
Parent/Guardian First Name: *
Your answer
Primary Payer's Phone #: *
(xxx)-xxx-xxxx
Your answer
Parent / Guardian Email: *
Email is required - your approval/denial will be sent to this address
Your answer
Child's Last Name: *
Your answer
Child's First Name: *
Your answer
School: *
If "Other" school, enter school name here
Your answer
Schedule
Please indicate the days your child will need to be DROPPED OFF at school. *
*** NORTH DROP OFF: 6:40am latest time. MAIN: 6:50am latest drop off
Required
Please indicate the days your child will need to be PICKED UP from school. *
Required
Inconsistent / Varied Schedule Notes
Your answer
DROP IN *
If you have an inconsistent / drop in schedule please be aware that we will not pick up your child unless you call transportation by noon each day
Disclaimer and Agreement
I understand that there is a processing time of 2 business days from the time this transportation request is submitted to receive approval/denial of my request. *
You should not expect transportation during that time.
Required
I understand approval of this transportation request does not guarantee care, and my child's start date must be established by the Enrollment Team after this request is approved. *
Required
If my child does not need pick-up on a scheduled day, I will inform the Transportation Department NO LATER than NOON on the same day by calling 719-930-8027. I understand that if I do not call Transportation by noon, I will be charged $10 for each incident. *
Required
By signing this form I acknowledge that I am allowing SLCC to pickup and drop off my child to and from school any day that SLCC is open. I further understand that SLCC follows all transportation, and state regulations regarding transportation of children in a daycare service. *
Required
Additional Notes:
Please provide any additional information that you think will be beneficial for the Transportation Dept. to be aware of.
Your answer
Signature
This section qualifies as your electronic signature.
Full Name of Primary Payer on SLCC Account (electronic signature) *
Your answer
NOTE: Make sure you click "Submit"!!
We will NOT receive your transportation request if you do not click "Submit" and get a confirmation on the next page.
Submit
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