ENROLL IN OUR SUMMER TRANSPORTATION PROGRAM

Summer Transportation Program

Please complete registration form for each child individually, as each child is issued an iRider ID# and iRider Badge for security purposes.

First name

Parent

Last name

Parent

Phone

Pickup Address

Dropoff Address

Child’s name

Child’s Birthdate

Month

Day

Year

Child’s Photo

Upload headshot photo for iRider badge purposes.

New or Returning iRider?

Does your child have a sibling enrolled in our services or will be enrolled?

Yes

If your child has a sibling enrolled in our services, please list their names below.

Sibling name

iRider ID Number

For returners with assigned iRider ID#

Route Choice

One Way AM- $120.00

One Way PM- $120.00

Roundtrip- $140.00

Please select your desired route option. The applicable state tax will be applied to all payments made.

Services needed for

Transportation services are needed for which activity?

Service Start Date

Desired Pickup Time

Time

HoursMinutes

Desired Dropoff Time

Time

HoursMinutes

Service End Date

I understand that the $75.00 registration fee is nonrefundable or transferable.

Yes

Registration fee is good for one school year or one summer only. Nonrefundable.

I will be submitting registration fee payment via

Please select the payment method you’ll be using to submit registration fee payment and tuition fees.

Parent Signature

Drawing mode selected. Drawing requires a mouse or touchpad. For keyboard accessibility, select Type or Upload.

I agree to the terms and conditions of the iCommute Kids Transportation, policies and procedures, parent agreement, and I’ve reviewed all the iFAQs and comprehend it entirely.