Please enable JavaScript in your browser to complete this form.Please enable JavaScript in your browser to complete this form. - Step 1 of 3Welcome to E.A.A.P.A's Transportation Request Form. To ensure the safety and convenience of our students, we provide transportation services for those who need assistance with pickup and/or drop off. Please click NEXT to fill out the form so that we can arrange the best possible transportation plan for your scholar(s). NextParent/Guardian InformationName *FirstLastEmail *Phone *Address *Address Line 1Address Line 2City--- Select state ---AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip CodeScholar(s) InformationHow many scholars do you need transportation for? *12Student 1Scholar Name *FirstLastGrade LevelAddress (if different from above)Address Line 1Address Line 2City--- Select state ---AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip CodePickup NeededYesNoDrop Off NeededYesNoDays Pick-up is Needed:MondayTuesdayWednesdayThursdayFridayDays Drop-off is Needed: MondayTuesdayWednesdayThursdayFridayStudent 2Scholar 2 Name *FirstLastGrade LevelAddress (if different from above) Address Line 1Address Line 2City--- Select state ---AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip CodePickup Needed *YesNoDrop Off Needed *YesNoPlease select all of the days morning Pick-up is Needed: MondayTuesdayWednesdayThursdayFridayPlease select all of the days afternoon Drop-off is Needed: MondayTuesdayWednesdayThursdayFridayNextSignature & Liability WaiverBy signing this form, you acknowledge and agree to the terms and conditions related to the provision of transportation services for your child(ren) provided by the school. This waiver is designed to inform you of the inherent risks and to absolve the school from liability in certain situations. Acknowledgment of Risks I, the undersigned parent/guardian, acknowledge that there are inherent risks involved in transportation services, including but not limited to: •    Accidents: Potential for accidents or injuries occurring during transportation. •    Delayed or Missed Transport: Possibility of delays or missed transportation services due to unforeseen circumstances. •    Behavioral Incidents: Risks associated with behavior or safety issues that may arise during transport. Liability Waiver By signing this form, I agree to the following: •    Assumption of Risk: I understand that while the school will take reasonable precautions to ensure safe transportation, it cannot guarantee absolute safety and is not liable for any accidents, injuries, or damages that may occur during transportation. •    Liability Release: I release and hold harmless the school, its employees, agents, and any associated entities from any claims, liabilities, or damages arising out of or related to the transportation services provided, including but not limited to accidents, injuries, or incidents that may occur during transportation. •    Medical Emergencies: I authorize the school and its representatives to seek emergency medical treatment for my child(ren) if necessary, and I agree to cover any associated costs. Responsibility for Information I agree to provide accurate and complete information regarding my child(ren)’s transportation needs and to promptly inform the school of any changes. I understand that failure to provide accurate information or failure to notify the school of changes may affect the transportation services provided. By signing below, I consent to the terms and conditions outlined in this waiver and agree to allow my child(ren) to use the school transportation services. Signature * Clear Signature Date *MM123456789101112DD12345678910111213141516171819202122232425262728293031YYYY2025202420232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920Submit Please enable JavaScript in your browser to complete this form.Please enable JavaScript in your browser to complete this form. - Step 1 of 3Welcome to the E.A.A.P.A School Lunch Program! Please click next to fill out the form and register your student(s) for the lunch program. NextParent Guardian Name *FirstLastEmail *PhoneHow many scholars are you signing up for lunch program? *123Scholar(s) Information Scholar 1 Scholar Name *FirstLastPlease select the days your scholar(s) will participate in the lunch program MondayTuesdayWednesdayThursdayFridayGrade Level:1st2nd3rd4th5th6th7th8th9th10th11th12thIf any, please list your scholar's food allergies.If any, please list your scholar's dietary restrictions/preferences. Add Remove Scholar 2 Scholar Name *FirstLastPlease select the days your scholar(s) will participate in the lunch program MondayTuesdayWednesdayThursdayFridayGrade Level:1st2nd3rd4th5th6th7th8th9th10th11th12thIf any, please list your scholar's food allergies. If any, please list your scholar's dietary restrictions/preferences. Add Remove Scholar 3 Scholar Name *FirstLastPlease select the days your scholar(s) will participate in the lunch program MondayTuesdayWednesdayThursdayFridayGrade Level: 1st2nd3rd4th5th6th7th8th9th10th11th12thIf any, please list your scholar's food allergies. If any, please list your scholar's dietary restrictions/preferences. Add Remove NextLunch Program Participation Consent and Liability WaiverI, the undersigned parent/guardian, hereby give my consent for my child(ren) to participate in the E.A.A.P.A School Lunch Program. By signing this form, I acknowledge and agree to the following: 1.   Voluntary Participation: I understand that participation in the school lunch program is voluntary, and I have chosen to enroll my child(ren) in this program. 2.   Assumption of Risk: I understand that while the school takes precautions to provide safe and healthy meals, there are inherent risks involved in consuming any food, including, but not limited to, choking, allergic reactions, or refusal to eat the provided meals. 3.   Disclosure of Allergies and Dietary Restrictions: I confirm that I have provided complete and accurate information about any known allergies, dietary restrictions, or medical conditions that may affect my child(ren)’s participation in the lunch program. I understand that failure to disclose such information may increase the risk of adverse reactions. 4.   Liability Waiver: I agree that E.A.A.P.A, its staff, and any associated individuals or entities are not liable for any injuries, adverse reactions, or incidents that may occur as a result of my child(ren)’s participation in the lunch program, including but not limited to choking, allergic reactions, or refusal to eat the prepared meals. I accept full responsibility for any such occurrences. 5.   Responsibility for Behavior: I understand that if my child(ren) refuse to eat the provided meals or engage in behavior that disrupts the lunch program, E.A.A.P.A reserves the right to address such behavior appropriately. 6.   Communication and Updates: I agree to keep the school informed of any changes to my child(ren)’s health, allergies, or dietary needs that may impact their participation in the lunch program. By signing below, I acknowledge that I have read, understood, and agree to the terms and conditions outlined above for my child(ren)’s participation in the E.A.A.P.A School Lunch Program. Parent/Guardian Name *FirstLastSignature * Clear Signature Date *MM123456789101112DD12345678910111213141516171819202122232425262728293031YYYY2025202420232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920Submit
