Scoot Door-to-Door Kid Shuttle
Safe.  Affordable.  Reliable.
Reservation Form
Personal Details
Your Email:
Parent(s) Name:
Street Address:
City:
Zip Code
Home Phone:
Work Phone:
Cell Phone:
Child's Information
Child's Name:
Use the address from above:
Street Address:
City:
Zip Code
Medical Conditions
Allergies
Text Messaging Information
We provide notification of your child's drop-off at their
pre-arranged location by text messaging.  Please provide
a cell number where you can receive these alerts:
Trip / Reservation Information
Service start date:
Days:
AM
 M
 W
 TH
 F
TU
PM
 M
 TU
 W
F
TH
Trip Origin
Approximate Pick-up time:
Origin name and address information:
Contact at this origin point:
Contact's telephone:
Destination 1
Must be picked-up by:
Delivered to destination by:
Destination name and address information:
Contact at this destination:
Contact's telephone:
Destination 2
Must be picked-up by:
Delivered to destination by:
Destination name and address information:
Contact at this destination:
Contact's telephone:
Destination 3
Must be picked-up by:
Delivered to destination by:
Destination name and address information:
Contact at this destination:
Contact's telephone:
Please complete this form or call us (650-862-6750) to arrange for Scoot's shuttle
service.  All information will be kept confidential.  We will promptly process your request
and contact you to finalize the details and let you know how we can accommodate you.

We welcome your questions and comments at any time, as well as the chance to meet
you and your child.  We are available to come by your home to introduce ourselves and
our shuttles.  We want you to feel comfortable with your decision to use Scoot for your
precious cargo.

Thank you for your business!