Ride Share Information Form

Ride Share Information Form
Name*

First NameLast Name
Email*
example@example.com
Phone Number
Please enter a valid phone number.
Choose the option that best describes your situation*

I am currently enrolled in KMES and am part of an existing ride shareI would like to explore the possibility of forming a ride share. I am either currently enrolled at KMES or exploring my options for enrolling.I would like to explore the possibility of joining a ride share, but I cannot drive. I am either currently enrolled at KMES or exploring my options for enrolling

How many people are currently part of your ride share?
How many more people could your ride share fit (if any)?
Who else is in your ride share? (This will be used to avoid duplication of ride sharing records.)
Where do you depart from / return to?
At what time do you depart in the morning?

Hour Minutes

AM/PM Option
At what time do you try to arrive back in the afternoon?

Hour Minutes

AM/PM Option
I would be willing to expand the ride share in the case that:

Another family could contribute to driving as part of the rideshare.Another family needs a ride, but cannot participate in driving.
If there is anything else we should know, please enter it here.

Where are you departing from / returning to?
At what time would you like your child to depart in the morning?

Hour Minutes

AM/PM Option
At what time would you like your child to return in the afternoon?

Hour Minutes

AM/PM Option
How many of your children need rides?
If there is anything else we should know, please enter it here.

Thanks for filling out the KMAP ride share survey.