Eagleridge Student Pick-up Procedures - Fall 2016
Complete one survey per family by August 19, 2016.

If you have multiple children, the form will allow you to give specific information for each. If you carpool, indicate in the last "carpool comments" box the family(ies) you share rides with, but it is the parent's obligation to complete the form for their own child(ren).

There are two options for pick-up - “walker” and “driver”. “Walker” means means you park and walk to the playground to pick-up your child. “Driver” means you stay in your car and pick-up your child in the loading zone on Medina.

Child #1 - Last Name
Your answer
Child #1 - First Name
Your answer
What grade is Child #1?
Which method will you be using to pick-up Child #1?
Driver pick-up means you will use the drive-thru lane on Medina and stay in your car. Walker pick-up means you will be parking and walking to get your child from the area by the playground.
Check the days of the week Child #1 attends.
Check all that apply.
Required
Child #2 - Last Name
Your answer
Child #2 - First Name
Your answer
What grade is Child #2?
Which method will you be using to pick-up Child #2?
Driver pick-up means you will use the drive-thru lane on Medina and stay in your car. Walker pick-up means you will be parking and walking to get your child from the area by the playground.
Check the days of the week Child #2 attends.
Check all that apply.
Child #3 -Last Name
Your answer
Child #3 -First Name
Your answer
What grade is Child #3?
Which method will you be using to pick-up Child #3?
Driver pick-up means you will use the drive-thru lane on Medina and stay in your car. Walker pick-up means you will be parking and walking to get your child from the area by the playground.
Check the days of the week Child #3 attends.
Check all that apply.
Child #4 - Last Name
Your answer
Child #4 - First Name
Your answer
What grade is Child #4?
Which method will you be using to pick-up Child #4?
Driver pick-up means you will use the drive-thru lane on Medina and stay in your car. Walker pick-up means you will be parking and walking to get your child from the area by the playground.
Check the days of the week Child #4 attends.
Check all that apply.
Child #5 - Last Name
Your answer
Child #5 - First Name
Your answer
What grade is Child #5?
Which method will you be using to pick-up Child #5?
Driver pick-up means you will use the drive-thru lane on Medina and stay in your car. Walker pick-up means you will be parking and walking to get your child from the area by the playground.
Check the days of the week Child #5 attends.
Check all that apply.
Carpool Comments
Your answer
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