Youth Transport Form

A well prepared and informed transport team is a safe team. To assure that our transport Guides are well informed and prepared for each transport it is important that we have extensive and thorough background information on the Teen we are to transport. This information is important as we will be spending, in a majority of cases, many hours together and will be engaged in conversations, and gives our Guides needed information on what topics of conversation to either avoid or engage in with the teen during a transport.

This information will also assist the guides in understanding and evaluating what may trigger inappropriate behavior in the teen. The information will also be used to effectively observe for medical or emotional problems.

Please fill out the form below

Form Navigation:

  • Mouse: Just click on any field and begin typing.
  • Keyboard: Use TAB to go through the form and use the SPACEBAR to select the radio buttons. (NOTE: only press ENTER when you are completely finished)
  • Click the SUBMIT button at the bottom when you are finished.
Please Provide Your Information
First Name
Last Name
Address
City
State
Zip
Email *
(Required)
Home Phone
Ex: XXX-XXX-XXXX
Work Phone
Cell Phone
Fax Number
(if applicable)
Which number should we contact you with?
On the Primary number you would like us to call back on, does it allow blocked calls?
I / we have full legal custody and or rights to place this minor child in a school or program, and to contract for the services of USA Guides, Inc.
Special notes or conditions concerning custody
Directions to your residence from the nearest major airport
Please provide the teen's information
Full Name
Gender
Height

Feet

Inches
Weight
Hair Color
Eye Color
Age
Date of Birth
MM-DD-YYYY
Address of teen pick up
Address of exactly where the teen will be at the start of the transport.
Any disablities or medical problems, describe in
detail and include any required medication information
School/Program
Facility Name
Address
Contact Person
Phone
Ex: XXX-XXX-XXXX
Email
Educational Consultant
Consultant Name
Email
Phone
Ex: XXX-XXX-XXXX
Address
History Information
Do you know if your teen has been involved with drugs? If yes, do you know what type and frequency of use?
Do you know if your teen has been involved with Alcohol? If yes, do you know what type and frequency of use?
Do you feel that your teen is a flight risk? If yes, please explain
Has your teen exhibited violence and or aggresive behavior? If yes, please explain in detail
Other Problems/Issues
Do any of the following apply to your teen?
If any can be answered "Yes" please provide a brief explanation
Legal Problems
School Problems
Adopted
Divorce Issues
Fitting in Problems
Emotional Problems
Original Program (IF transferring Schools)
Original Facility Name
Address
Contact Person
Phone
Ex: XXX-XXX-XXXX
Email
Facility name of pickup
Juvenile detention center or court name
Other Information/Notes

Please provide any other information about your teen, their circumstance, or any information that you feel is important for us to know about so that we can conduct an informed and safe transport:

Also, please answer the following questions: 

  • What date you would like this transport to take place?
  • Would you like to be contacted imediately after you submit?
  • What are you child's interests?
  • What are you child's food preferences?
  • Has this child been transported before?
What is seven plus three?:

Questions?

Customer Log in

Check on the progress of your transport here.

Testimonial

"It all went so smoothly....I must have rehearsed what I was going to say to her 100 times....and the support of the guides was such a safety net....they are a great team. You were right about waking her up too...of course. Its hard to picture the process until you have done it once. If you have a chance to redo the video I think it would helpful to have the child at least talking and expressing and a much more audible script of what the mom says. This would allay a lot more fear. I will be sure to recommend you to others who need you. If you need anyone to call me who wants references feel free to use my name and give them my home phone."
Shana