Update our Records and Stay Informed!Need to download forms? Click here to get rider forms. 1 Rider Info Rider Name: Primary Diagnosis: --None--ADHD-Hyperactive TypeADHD-Inattentive TypeAngelmans SyndromeAnxietyAsthmaAuditory Processing DisorderAutismBrain InjuriesCancerCardiovascularCerebral PalsyCognitive DelayCongenital AnomalyCri du Chat SyndromeDeafnessDepressionDevelopmental DelayDiabetesDown SyndromeEmanuel SyndromeEmotional/Psychological NeedsEncephalopathyEpilepsyExpressive Language DisorderFetal Alcohol SyndromeFragile X SyndromeHearing ImpairmentHemiplegicHydrocephalusHypertensionHyperthyroidismHypothyroidismHypotoniaIntellectual DelayLearning DelayLearning DisabilitiesLupusMicrocephalyMitochondrial DiseaseMood DisorderMultiple SclerosisMuscular DystrophyOCDOtherParalysisPartial ParalysisPrader-Willi SyndromePTSDRhetts SyndromeScoliosisSeizure DisorderSelective MutismSensory Processing DisorderSmith-Lemli-Opitz SyndromeSpeech and/or language DelaySpina BifidaSpinal Cord InjuriesStrokeTactile DefensiveTBITetralogy of FallotTraumatic Brain InjuryTrisomy 13Trisomy 18Undiagnosed at this time Rider Date of Birth: Additional Diagnosis Information:2 Contact Info Parent/Guardian First Name Last Name Email Phone Additional Information3 School Year Availability(August through mid-April)MondaysTuesdaysWednesdaysThursdaysFridaysSaturdays Sat 9-noonMon Noon - 2:30p ch Sat noon-2:30Mon2:30 - 5p chTu2:30 - 5p Weds 2:30 - 5p Th2:30 - 5p Sa2:30 - 4p Tuesday 5 - 8p:Wednesday 5 - 8p:Thursday 5 - 8p: 4 Spring and Summer availability(mid-April through early August)MondaysTuesdaysWednesdaysThursdaysFridaysSaturdaysMo 9-noonTu 9-noonWe 9-noonTh 9-noonFr 9-noonSa 9-noonMo noon-2:30Tu noon-2:30We noon-2:30Th noon-2:30Fr noon-2:30Sa noon-2:30Mo 2:30-5####Tu 2:30-5We 2:30-5Th 2:30-5Fr 2:30-5Sa 2:30-5 Tu 5p - 8p:We 5p - 8p:Th 5p - 8p: Thank you for updating our information at Project RIDE.
