Transportation Request Packet

Transportation Enrollment

This form is for fulltime enrollment only. If you only need on-call service, please use our Request A Ride form (link below).
Request A Ride Form
Name of Parent*

First NameLast Name
Are you a customer of H.O.M.E Preschool?*

YesI just completed enrollment packetNo
Email*

Confirmation Emailexample@example.com
How many children do you need transportation for?*
1st Child*

First NameLast Name
2nd Child*

First NameLast Name
3rd Child*

First NameLast Name
4th Child*

First NameLast Name

Parent's Responsibility Agreement
H.O.M.E Preschool and Schoo-ber Ridesharing Transportation Service provide convenient transportation for your child. We have designated, labeled and certified bus(es) to transport your child safely to his/her final destination. H.O.M.E Preschool and Schoo-ber Ridesharing complies with the health and safety standards to ensure the well-being of children in our care that are being transported.

Children will be transported to and from in the Schoo-ber Ridesharing Transportation Service bus(es), and in case of emergencies, in a registered car. H.O.M.E Preschool and Schoo-ber Ridesharing will assure any vehicles used are approved by the Safety Standards and all drivers will have appropriate and approved driving records.

Parents agree to the following:
- Morning pickups are between the hours of 6:30 a.m. – 8:30 a.m. (depending on location/route and school schedule) and afternoon drop-offs are no later than 6:30 p.m. School pickups will be as per school’s schedule.
- It is the responsibility of the parents to have their child ready and available for morning pickups.
  - If the child is not ready for pickup, the parents will be asked to make other transportation arrangements for the day.
  - If there are three (3) occurrences in one month, the parents may be asked to find an alternative transportation service.
- It is the responsibility of the parents to advise of any absences. If the bus is delayed due to noncommunication of absences, there will be a $10 fee added to your account.
- For home drop-offs, it is the responsibility of the parent to ensure an authorized person is available during the drop-off timeframe to receive child. Children under age 12 WILL NOT be left home alone.
  - In the event an authorized person is not home, we will bring the child to H.O.M.E Preschool’s location and it will be the parent’s responsibility to pickup the child. A $20 care fee will be due at pick up.
- For children below the age of 4, parents are responsible for providing car seats. Car seats will be left at child’s destination; unless the child will be picked up again by Schoo-ber Ridesharing within the same day.
- Due to unforeseen circumstances, my child may arrive late and will understand that H.O.M.E Preschool or Schoo-ber Ridesharing Transportation Service will make every effort to transport children on time ensuring safety is a priority.
- It is the parent's responsibility to provide a list of early dismissals and no-school days at least 1 month in advance.
- It is the responsibility of the parents to notify the school that H.O.M.E Preschool or Schoo-ber Ridesharing Transportation Service will be dropping off and/or picking up their child from school.
- At times transportation may be cancelled due to poor weather conditions.
- For fulltime services, you are responsible for payment regardless of attendance to secure a seat.
- Payments are due on Mondays or Tuesdays on a weekely basis or at pickup/dropoff for on-call services. A late fee of $20 will be due if paid after Tuesdays.
I have read and understand the Parent's Responsibility Agreement and give H.O.M.E Preschool and Schoo-ber Ridesharing Transportation Service consent to transport my child.
Signature*

Clear
MonthDayYear

Consent for Medical Emergency Treatment
In the event of a medical emergency situation, as deemed by the Driver or designated person in charge, 911 will be notified immediately then Parents/Guardians will be notified. If there is an immediate need for medical attention, the undersigned grants consent for any x-rays, treatment or hospital care to be rendered to said minor upon the advice of a physician.
1st Child's Information
First name*
Last name*
M.I.
Street address*
Street address line 2
City*
State
Zip code*
Male or female?*

FemaleMale
Date of birth?*

MonthDayYear
Age?*
List allergies, if any:
Parent's Information
Mother's/Guardian's name
Phone number
Place of work
Work phone number
Work Hours
Ex. Mon-Fri, 9 a.m. - 5 p.m.
Father's/Guardian's name
Phone number
Place of work
Work phone number
Work Hours
Ex. Mon-Fri, 9 a.m. - 5 p.m.
I give my permission to obtain emergency medical treatment for my child named above, when I cannot be reached or if a delay in reaching my child would be dangerous for him/her. I understand that it is my responsibility to update this form if any information provided above has changed.

My signature below indicates that the information I have provided within this form is true, and I have read and understand this agreement.

Name

{nameOf}
Signature*

Clear
MonthDayYear

Consent for Medical Emergency Treatment
In the event of a medical emergency situation, as deemed by the Driver or designated person in charge, 911 will be notified immediately then Parents/Guardians will be notified. If there is an immediate need for medical attention, the undersigned grants consent for any x-rays, treatment or hospital care to be rendered to said minor upon the advice of a physician.
2nd Child's Information
First name*
Last name*
M.I.
Street address*
Street address line 2
City*
State
Zip code*
Male or female?*

FemaleMale
Date of birth?*

MonthDayYear
Age?*
List allergies, if any:
Parent's Information
Mother's/Guardian's name
Phone number
Place of work
Work phone number
Work Hours
Ex. Mon-Fri, 9 a.m. - 5 p.m.
Father's/Guardian's name
Phone number
Place of work
Work phone number
Work Hours
Ex. Mon-Fri, 9 a.m. - 5 p.m.
I give my permission to obtain emergency medical treatment for my child named above, when I cannot be reached or if a delay in reaching my child would be dangerous for him/her. I understand that it is my responsibility to update this form if any information provided above has changed.

My signature below indicates that the information I have provided within this form is true, and I have read and understand this agreement.

Name

{nameOf}
Signature*

Clear
MonthDayYear

Consent for Medical Emergency Treatment
In the event of a medical emergency situation, as deemed by the Driver or designated person in charge, 911 will be notified immediately then Parents/Guardians will be notified. If there is an immediate need for medical attention, the undersigned grants consent for any x-rays, treatment or hospital care to be rendered to said minor upon the advice of a physician.
3rd Child's Information
First name*
Last name*
M.I.
Street address*
Street address line 2
City*
State
Zip code*
Male or female?*

FemaleMale
Date of birth?*

MonthDayYear
Age?*
List allergies, if any:
Parent's Information
Mother's/Guardian's name
Phone number
Place of work
Work phone number
Work Hours
Ex. Mon-Fri, 9 a.m. - 5 p.m.
Father's/Guardian's name
Phone number
Place of work
Work phone number
Work Hours
Ex. Mon-Fri, 9 a.m. - 5 p.m.
I give my permission to obtain emergency medical treatment for my child named above, when I cannot be reached or if a delay in reaching my child would be dangerous for him/her. I understand that it is my responsibility to update this form if any information provided above has changed.

My signature below indicates that the information I have provided within this form is true, and I have read and understand this agreement.

Name

{nameOf}
Signature*

Clear
MonthDayYear

Consent for Medical Emergency Treatment
In the event of a medical emergency situation, as deemed by the Driver or designated person in charge, 911 will be notified immediately then Parents/Guardians will be notified. If there is an immediate need for medical attention, the undersigned grants consent for any x-rays, treatment or hospital care to be rendered to said minor upon the advice of a physician.
4th Child's Information
First name*
Last name*
M.I.
Street address*
Street address line 2
City*
State
Zip code*
Male or female?*

FemaleMale
Date of birth?*

MonthDayYear
Age?*
List allergies, if any:
Parent's Information
Mother's/Guardian's name
Phone number
Place of work
Work phone number
Work Hours
Ex. Mon-Fri, 9 a.m. - 5 p.m.
Father's/Guardian's name
Phone number
Place of work
Work phone number
Work Hours
Ex. Mon-Fri, 9 a.m. - 5 p.m.
I give my permission to obtain emergency medical treatment for my child named above, when I cannot be reached or if a delay in reaching my child would be dangerous for him/her. I understand that it is my responsibility to update this form if any information provided above has changed.

My signature below indicates that the information I have provided within this form is true, and I have read and understand this agreement.

Name

{nameOf}
Signature*

Clear
MonthDayYear

Access to Child's File
I hereby give H.O.M.E Preschool and Schoo-ber Ridesharing Transportation staff and personnel permission to access my child's file.

All information sighted or heard, shall be treated as strictly confidential and shall not be disclosed to or discussed with anyone other than those authorized to receive such information, unless disclosure is authorized by law.
Name of Child*

First NameLast Name
Name of Parent*

First NameLast Name
Clear
MonthDayYear
Date

Bus Card Policy
H.O.M.E Preschool in collaboration with Schoo-ber Ridesharing Transportation Service gives parents comfort in knowing when and where their child enters and exits the bus by providing the child a bus card. In order to gain access to our bus card system, parents must download MyView app, create an account and set your notifications setting.
- Students will be issued a bus card on a retractable card holder which will be the responsibility of the student.
- The bus card shall be carried at all times and must be swiped upon entering and exiting the bus.
- Bus cards should only be scanned on H.O.M.E Preschool or Schoo-ber Ridesharing Transportation Service buses.
- Each bus card is assigned to a specific student and should not be loaned or given to another student.
- If a student’s bus card should be lost or stolen, H.O.M.E Preschool nor Schoo-ber Ridesharing Transportation Service will not be responsible for replacing the bus card. However, there will be a $5 fee to replace the card.
  - Replacement bus cards will need to be updated on your account in order to continue receiving notifications.
- If you should no longer need to use our transportation services, you will be asked to return the bus card.
Parent's Name

First NameLast Name
Signature

Clear
MonthDayYear

Behavior Management & Discipline Policy
We believe that the discipline of a child is achieved through patience, consistency, and positive reinforcement. We also try and teach the children in our care manners, kindness and to be respectful to others. One of the ways in which we do this is by the example we as providers set. We understand that our actions and reactions speak much louder than our words. The rules of the center are explained to the children frequently, so they know what’s expected of them. Once a child is old enough to understand the rules and disobeys them by exhibiting inappropriate behavior (hitting, aggression, etc.), hurts others, or property, the following developmentally appropriate guidance techniques will be used:
1. Positive Reinforcement: The child will be encouraged when he or she is demonstrating acceptable behavior.
2. Redirection: The child is redirected to another activity and given an opportunity to try again at another time.
3. Time-Out: The child is separated from the group for an age appropriate amount of time (one minute per one year of age). This technique is only used when a child repeatedly will not follow our directions or listen to our words, is exhibiting temper tantrum type behavior, or hurting one’s self, others or equipment. When the child shows that he or she is ready to demonstrate acceptable behavior, they are encouraged to join the rest of the group to try again.
4. Last Resort: When a child’s behavior is continually upsetting or dangerous to others, a conference will be called with the parents. If the problem cannot be resolved, arrangements will have to be made for the child to go elsewhere for care.
5. Children shall NOT be subjected to discipline that is severe, humiliating, or frightening.
6. No cruel, harsh, physical, or unusual punishments shall be permitted.
7. No child shall be delegated or permitted to discipline another child.
8. No physical restraints, equipment, devices, or furniture shall be used to confine a child, including, without limitation, swings, walkers, and spinners.
9. No child shall be confined in an enclosed area, such as a closet, locked room, box, or bathroom.
10. No child shall be subjected to profane language, threats, derogatory remarks, or other verbal abuse.
11. No child shall be punished for failure to eat or sleep, or for toileting accidents.
12. No child shall be punished by with-holding food, rest, or use of the toilet.
13. No physical punishment shall be used, such as, but not limited to, spanking, hitting, striking, biting, or pinching.
14. No child shall be threatened with any punishment that is prohibited by this paragraph.
Note: Sometimes if both a parent and a provider are both in the same area (examples would be during drop-off and pick-up times) a child may forget the rules and test the boundaries. Please help show your child that you respect us, the rules of our center, and our property by reminding them that the rules still apply when you are around. We will also remind them of the rules and correct them if needed.

My signature below indicates that I have received a copy of the discipline policy, it has been reviewed with me, and I have read and understand this policy.

Name

{nameOf}
Signature*

Clear
MonthDayYear

Photo Release Form
HOME Preschool may photograph children while at daycare, on fields trips, or during activities and may use the image(s) to promote child care services only, either in print or on the internet.

I understand that my child(ren) may be photographed during normal daycare hours, field trips, or during activities. I understand that these photographs may be used in promoting child care services, either in print or on the internet.
I understand that it is my responsibility to update this form in the event that I wish to change my decision. I agree that this form will remain in effect during the term of my child’s enrollment. I understand that there will be no payment for me or my child’s participation in this release.

Name

{nameOf}
Signature*

Clear
MonthDayYear
Should be Empty:

Transportation Enrollment