Parent/Guardian Name (first and last) *

Best phone number *

Email address *

Re-type email address *

Student Name(s) *

Student Grade Level(s) - check all that apply to your family

I can help get other students to school in the following way(s) - check as many as apply:

I need help getting my child(ren) to school - check all that apply:

If you need help getting your child(ren) to school - how many children?

Your street address (Providing your street address will help us match you with other families in your area more quickly; however, it is not mandatory to begin the process)

Your zip code *

I live in the following area: *

Anything else we should know?

By completing this survey, I am voluntarily sharing the information included in it. This information will only be used for the purpose of matching families with one another for support in walking or riding to school. This information will be managed by school staff and select volunteers who are screened by school staff. If you seem to be a match for someone who needs help, or can offer help, you will first be contacted by a transportation coordination volunteer. Your personal contact information will not be shared with additional people without your permission. *