Please take the time to complete the confidential reservation form below. Once the form is submitted you will be contacted shortly to finalize your reservations.

We look forward to working with you. KPS would like to assure you that we will work with you as a team focused on one TOP PRIORITY goal: safe and reliable transportation for your child.

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E-mail Address: * Name * Address * City Home Phone * Alternate Phone Childs Name Age Is booster seat needed? YES NO Start Date Services needed? * Round Trip One-way AM One-way PM Days of Service Mon Tues Wed Thurs Fri Nights & Weekends YES NO Start Location * Please include location name(ex: Blueridge apts, Concord Elementary, home) End Location * Please include location name(ex: Blueridge apts, Concord Elementary, home) Text Notification Cell # for text notification How did you hear about us? Comments * Required

**Please print and fax completed documents to

972 780-5896**

Reserve your child's seat today!