PASSENGER FORMS
PASSENGER REGISTRATION FORM
To book the ride please click Download Registration Form, fill out the form, upload and submit the form after filling the ride details
Dear Friend,
Thank you for your interest in HarGo Rides. HarGo Rides is a nonprofit organization providing Harford County’s residents, age 60 and older, with reasonably priced, reliable supplemental transportation utilizing community volunteers and resources.
The button above leads to a registration packet that provides you with a Passenger Information Sheet, Waiver Form, Registration Form and an Agreement Checklist. If you do not have access to a printer, you can come to our office and receive a physical copy there, or the forms can be mailed to you upon request.
These forms must be completed and returned to HarGo Rides with your Registration Fee. If your income is limited and you qualify for other county services, you may be eligible for subsidized rides and the fees and fares will be waived.
Once your registration is accepted, you will receive a call letting you know you may begin to schedule rides and a welcome package will be mailed to you.
While every effort is made to find a volunteer driver, there is no guarantee that a driver will be found so passengers should also consider having a backup transportation plan.
On behalf of our Board of Directors, staff, and volunteers, we look forward to serving you.
Sincerely,
Sarah Higgins
Office Manager
Passenger Agreement Checklist
Please initial on each line below.
1. I understand I must be at least 60 years of age and a resident of Harford County to be a HarGo Ride passenger.
2. I understand I must be physically able to independently get in and out of a car and not use a wheelchair. (walkers,rollator, and canes are fine).
3. I know I must be physically and cognitively able to conduct my personal business once I am at my destination unless I’m accompanied by family, friend or aide. If anyone travels with me, I understand he/she must have a signed waiver on file in the office.
4. I must request a ride at least three full business days before the ride date and provide the name, address, phone number and times when requesting a ride.
5. When a Volunteer Driver is assigned, I will receive a call giving me the driver’s name two days before the ride. If a driver has not been assigned, I will receive a courtesy warning call. I understand that while every effort is made to find a driver, there is no guarantee. If no driver is found, I will receive a call the day before the requested ride.
6. I understand I will receive a call by my assigned driver by 8pm the evening before the ride. If I do not receive this call I will call the HarGo Ride office and notify them, leaving a message on the emergency line.
7. I understand that I need to send in $45 with my registration. $20 is a non-refundable registration fee. The remaining $25 will be deposited in my account to be used for my transportation. I understand that payments must be made in advance of any ride I take. If I am on a limited income and I qualify for other county services, I may be eligible for subsidized rides and will have all fees and fares waived. I understand I need to fill out the Hargo Ride Fund form on the back of the registration form to receive subsidized rides.
8. I understand that I must sit in the backseat and wear a mask and open the window slightly, weather permitting.
9. I have read and agree to abide by the policies set forth for HarGo ride passengers. If I fail to follow any of these policies, services may be terminated.
Signed:
Dated: