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Please help reduce traffic In Our Community: Carpool!

 

 

Bobby WorldWide Approved 508

 

Cascades West Carpool is an "It all adds Up to Cleaner Air" partner.

 

 

Corvallis School Pool Program 

SchoolPool is a FREE service provided by the Benton County Safe Routes to School (SR2S) Program that matches families from your child’s school with others who are interested in carpooling to and from school. The program was designed after the Eugene SchoolPool program and has the following mission:

To engage students and parent/guardians of Benton County schools in actively pursuing and maintaining healthy, alternative transportation options to/from school.

The Benton County Safe Routes to School (SR2S) Partnership consists of government agencies, school district staff, law enforcement and bicycle advocates. The partnership is convened in October 2005 by the Benton County Health Department with the support from Oregon DHS Obesity Prevention grant.
 

Please fill out the following registration form entirely, making sure not to omit required information. 

Please note:
Completing this application and submitting your information to Safe
Routes to School is not a commitment to SchoolPool, and does not
guarantee that we can provide you with a match. It is a way to
explore SchoolPool options available to you and your children only

.

   
Parent Name (First, Last):
   
Child Name (First, Last): (optional)
   
Home Street Information:

(street number kept private)

   
City, State, Zip Code:
   
Nearest Intersection to your Home (Cross Street):
   
Mailing Address (if different than home address):
   
Email:
   
For your application to be processed, you must provide at least one (1) valid phone number.  

 
Home Phone:   (leave as is if you do not have number to submit)
   
Day Phone : (leave as is if you do not have number to submit)
   
Other Phone (cell):   (leave as is if you do not have number to submit)
   
Child's School:
   
Child's School Schedule:  
   
Child's Grade Level:
   
Riding/Driving Preference:
   
Disclaimer:
SchoolPool does not transport children to school. Benton County
SchoolPool and Oregon Cascades West Council of Governments is not responsible for liability incurred as a result of your participation in
the program.
I have read the disclaimer and agree to the terms.
Digitally Sign by typing the first and last initials of your name (lower case)
   
   

 

 

 

 

©2006 Oregon Cascades West Council of Governments | Webmaster | Disclaimer

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