Request Ride

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Please correct the field(s) marked in red below:

ALL RIDES must be scheduled by 4 p.m. the PREVIOUS business day. (This means all rides for Monday must be scheduled by 4 p.m. on Friday).

1
Name:
 *
2
Phone Number
 *
3
What date do you need a ride? Format: mm/dd/yyyy:
 *
4
Pickup Time: (Please allow up to 45 minutes after pickup to arrive at your destination.):
Pickup Time: (Please allow up to 45 minutes after pickup to arrive at your destination.):
5
Where do you need to be picked up? Provide street address.:
 *
6
Where are you going? Provide address and business name:
 *
7
Will you be travelling by yourself? 
Will you be travelling by yourself?
8
How many other riders over the age of 12 will be travelling with you?:
9
How many children under the age of 12 will be travelling with you? (Riders on Enid Transit must provide their own child safety seat for children weighing less than 40 pounds.):
10
Do you need a return trip?:
Do you need a return trip?:
11
What date do you need a RETURN ride?:
12
What time do you need to be picked up on your RETURN ride?
What time do you need to be picked up on your RETURN ride?
13
Where are you going on the RETURN ride? (Please enter street address or business name):
14
Where do you need to be picked up for the RETURN ride?:
15
Are you over the age of 60?:
Are you over the age of 60?:
16
Are you able to walk up steps into the bus without assistance? :
Are you able to walk up steps into the bus without assistance? :
17
Will you be traveling with the assistance of any of the following?:
Will you be traveling with the assistance of any of the following?:
18
Does your chair have a wheelbase of more than 30 inches?:
Does your chair have a wheelbase of more than 30 inches?:
19
Will you be travelling with a personal care assistant?:
Will you be travelling with a personal care assistant?:
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