Last day for the Splash bus is Friday, August 11th! To register your child, please fill out the form below. Splash Bus To Miller Pool Form will be used to track riders going to the pool in Miller. "*" indicates required fields Passenger InformationPassengers Name* First Middle Last Date of Birth (for statistical reporting purposes) The City of Highmore requires children to be 7 years of age or older to ride the Splash bus.Passengers Ethnicity (for statistical reporting purposes)White or CaucasianNative American or Alaska NativeAfrican AmericanHispanicOtherPassengers Gender (for statistical reporting purposes) Male Female Passenger Walk On or Use a Mobility Device?* Walk On Mobility Device Additional CommentsLegal Guardians InformationLegal Guardians Name* First Last Physical Address* Street Address City State ZIP / Postal Code Is Mailing Address same as Physical Address?* Yes No Mailing Address Street Address City State / Province / Region ZIP / Postal Code Phone Number*Email* Emergency Contact InformationName* First Last Phone*Relationship* Splash Bus Ride SchedulingThe Splash bus will operate Mondays, Wednesdays, & Fridays beginning June 5th. There will be two departure times and two pickup times each day of operation. IMPORTANT: There is no charge to ride to and from the pool. THERE IS a fee to enter the pool.Days needing rides Monday Wednesday Friday Depart to Miller 12:30 pm 2:30 pm Return to Highmore 3:00 pm 5:00 pm Can the rider change when they want to come back? Yes No Example: If the rider is scheduled to return to Highmore at 5 pm but wants to return at 3 when our bus completes the 2nd drop off, can they do that?Do you want this to be a standing reservation? Yes No The above riding schedule will be put into our system as a standing reservation. If your child will not be riding on a rescheduled day to the Miller pool, it is required that the ride be canceled no later than 6 pm the day before the ride. You can cancel a ride by calling 605-945-2360.Policies and InformationI understand that I am responsible for updating my personal information as needed (i.e. change of address or phone number).* Yes No I understand that RCPT reserves the right to refuse service.* Yes No BULLYING WILL NOT BE TOLERATED " I understand any misconduct on the bus will result in a verbal warning to the youth transit rider and if the problem persists a parent and/or guardian will be notified. Misconduct may result in suspension depending on severity and/or whether or not a problem has persisted after verbal warnings. The length of suspension will depend on the seriousness of the misconduct."* Yes No I understand that RCPT is committed to providing NON-discriminatory service and that I may call the office with concerns.* Yes No No Show and Cancellation Policy* I agree In an effort to provide excellent customer service to all of our clients, and to provide the best possible transportation services, we require cancellations if your child has a reservation and does not plan to ride. If your child no-shows 3 times, their standing reservation will be cancelled.Signature* Δ
