AS RECOGNIZED BY SRLA! If your site is not listed please select "Other" at the bottom of the list and place your site in the next question.

IF YOU DID NOT SEE YOUR SITE LISTED ABOVE, please select "Other" at the bottom of the list and place the name of your site here (as recognized by SRLA).

Identify a site at your school that is a convenient and accessible pick-up location (i.e., in front of the school, the side gate, by the flagpole, etc.). Check all that apply,  identify specific details (such as street corners), and/or provide clarifying information.

Does your school share a campus with another school?

If yes, please indicate the name of the school with which your school shares a campus:

Which SRLA participating school(s) is/are geographically the closest to your school? Name any schools that could be potential bus partners or alternate pick-up locations. Charter Schools - It is essential that we know your school's preferred pick-up site since we may not be able to transport from your actual school location: Place "Not Available" if there are no nearby schools available.

(xxx-xxx-xxxx)

Full Name of a Co-Leader/Friend of SRLA who may be providing supervision on event days for students who are on the bus: Place "Not Available" if there is no other Co-Leader/Friend available from your school to supervise on the bus.

The weekend contact cell phone number for the person identified above: Place "Not Available" if there is no other Co-Leader/Friend available from your school to supervise on the bus.

Full Name of a Co-Leader/Friend of SRLA who may be providing supervision on event days for students who are on the bus: Place "Not Available" if there is no other Co-Leader/Friend available from your school to supervise on the bus.

The weekend contact cell phone number for the person identified above: Place "Not Available" if there is no other Co-Leader/Friend available from your school to supervise on the bus.

What, if anything, would make your transportation experience go more smoothly? Place "Not Available" if you have nothing to add.

I am aware that SRLA's policies are available to me on the Marathon Leader Main Page, in the Leader Handbook, and/or available upon request to the SRLA Office. IT IS MY RESPONSIBILITY TO FAMILIARIZE MYSELF WITH ALL SRLA POLICIES. Specifically, I hereby, acknowledge SRLA's policies about requesting and cancelling transportation. Additionally, I understand that at the conclusion of an SRLA event for which we use transportation provided by SRLA it is the responsibility of our group's Primary Leader to provide bus drop-off time details to SRLA administrative personnel. I understand that a certificated or credentialed employee from my group's site who is familiar with the group's participants and students, preferably a Marathon Leader, rides on the bus. This person is responsible for supervision of my group's participants on the bus and is to make sure that all of the group's participants who ride on the bus are accounted for before departing the location. The responsible adult is required to have access to emergency information for all participants from the group that are on the bus.

Place the full name of the person completing this form.

Provide the date that this form is being submitted.