Falls Church – Kiss & Ride Sign-up Form Today's Date*Year20232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920Month123456789101112Day12345678910111213141516171819202122232425262728293031Email* Child's InformationName* First Middle Last Class* DOB*Month123456789101112Day12345678910111213141516171819202122232425262728293031Year20232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920Gender* Male Female Language* Program* Choice of ServicesWe have established an area called "Kiss & Ride" designed as a safe place for adults in private vehicles to load and discharge children. This area is separate from the parking area, enabling us to avoid problems associated with vehicular traffic around the school. It also establishes a pedestrian traffic pattern to keep children safe. Our assistants and office staff members will be in the K&R area to load and discharge children. - For morning drop off, the K&R will run from 8:50 and 9:10 am - For half day children afternoon dismissal, the K & R will run between 12:30-12:40 am - For full day children afternoon dismissal, the K&R will run between 3:00-3:10 - Families with children in morning or afternoon extended care will still need to go inside the school to pick up their children.The "Kiss & Ride" services is optional - you are still welcome to pick up and drop off yourself.In order to ensure the safety of all children, the following rules must be observed If all drivers cooperate, the adult supervisors will be able to provide an efficient and safe transfer of children.1. Pack a bag or backpack with all of your child's belongings so the loading and discharging can be done more smoothly.2. Make sure to notify the school if the pick-up person will not have the hang tab. If there's no hang tag, and school staff members don't know the pick-up person, your child will need to be picked up from the office.3. Hang up the "hang tag" given to your family on your rear-view mirror, so school members know what child you will be dropping off or picking up.4. Load and discharge children only in the Kiss & Ride.5. Pull your car as far forward as possible before stopping to load or discharge children. Three or four cars can transfer students at the same time. Watch for directions from the supervisor.6. Load and discharge children from the passenger side of the car only, so the will not have to cross the driveway in front of traffic.7. Remain in the driver's seat. School Staff Members will assist with car doors.8. Keep goodbyes brief; other drivers will be waiting behind you to discharge children.9. Do not pass other cars that are loading or discharging children.10. Exit the Kiss & Ride promptly after loading or discharging children. When picking up children, pull into the Kiss & Ride area and wait in your car. Do not park in the parking lot or at the side of the street and call to children.11. Don't block intersections.Consent(Please initial below each statement as desired)My family will use the K&R for morning drop off (8:50-9:10) My family will use the K&R for half day pick up (12:25-12:35) My family use the K&R for full day pick up (2:55-3:10) My family will NOT use the K&R. We will drop off and pick up as usual.