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:
Date: