25
% off our $99 annual membership
*Membership is not required to use our services
Members do have some advantages
$10 off first weeks service when you load your profile on
community site.
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Reservation
Name
Relationship to child
Address
Phone
Cell
Email
How did you hear about us?
Business Card
Facebook/other networking service
Flyer
Brochure
Current Client
Craigs List
School
Friend
Other
Childs Name
Childs Birthday
Gender
Male
Female
School
Grade Level
List any and all medical conditions(allergy, seizures, asthma etc.) Please put N.A. if not applicable.
Does your child need a booster seat?
Yes
No
Emergency Contact #1
Relationship
Address
Phone
Mobile
Emergency Contact #2
Relationship
Address
Phone
Mobile
Briefly describe the services your family needs(how many days of the week, the times, location of pickup and dropoff)
How many children?
1
2
3
4
5+
How many days of the week to you need service?
1
2
3
4
5
6
Location of pickup(address)
What time is pickup needed?
Hours
01
02
03
04
05
06
07
08
09
10
11
12
:
Minutes
00
15
30
45
AM
PM
Destination(address)
What time is arrival expected?
Hours
01
02
03
04
05
06
07
08
09
10
11
12
:
Minutes
00
15
30
45
AM
PM
Who is meeting your child when driver drops off?
I agree to the terms and conditions that K.I.T. has outlined in the rules and policies on the previous pages. I understand that my child will not be transported until payment is made in advance for services.
Payment is Required before K.I.T. driver is routed to your childs location.
Price may vary according to your families needs.
REGISTRATION FEE: $25
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