Golden Pass Program

The Kirkwood School District invites residents age 60 and older to carry the KSD Golden Pass. As valued members of the KSD community, older adults are encouraged to visit the schools often and enjoy the variety of sports, theatrical and musical events performed by the students.

Please provide the information below, and we will contact you about your pass.

Please correct the following errors.

First Name Question is mandatory

Last Name

Email Address Question is mandatory

Date of Birth Question is mandatory

(MM/DD/YYYY)

Street Address Question is mandatory

City

State

Zip Code

Phone Number Question is mandatory

Would you like to also obtain a Golden Pass for your eligible spouse? Question is mandatory

Yes

No

Spouse First Name Question is mandatory

Spouse Last Name Question is mandatory

Spouse Date of Birth Question is mandatory

(MM/DD/YYYY)

How would you like to receive your pass(es)? Question is mandatory

Mailed to me at the address above

Pick up in person at the District Central Office (located at 1099 Milwaukee St.)

What would you like to submit? Question is mandatory

Question

Comment

Suggestion

Concern

Compliment

Tell us who you are Question is mandatory

(Select one or more)

Kirkwood School District Student

Kirkwood School District Parent/Guardian

Kirkwood School District Employee

Community Member

Enter the characters as shown in the image Question is mandatory

Enter the characters as shown in the image

Required

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