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City of Big Rapids

info@cityofbr.org

226 North Michigan Avenue, Big Rapids, MI, 49307, US

231-592-4033

City of Big Rapids Dial-A-Ride Public Transit System Standing Call Service Request - Child

Pickup Days of the Week (Please select all that apply):

Service Begin Date and Time

Date Picker

Service End Date:

Date Picker

Can child be dropped off without seeing an adult?

Parent or Guardian Information

What is your relationship to the passenger?

Office use only:  Transportation To/From Dial-A-Ride office (___)

Date:  ________________

Books of Tickets Sold at Sale Price:_____________

Parent or Guardian Must Sign

Bus Safety Agreement

I, the parent or guardian of the passenger listed in this agreement, acknowledge that I have received, read and understand the School Passenger Rules and Regulations issued by the City of Big Rapids Dial-A-Ride and agree to abide by the same. I understand that riding the Dial-A-Ride bus is a privilege which can be denied. I agree and understand that our children's safety on the bus is extremely important to Dial-A-Ride and to me. I will cooperate with Big Rapids Dial-A-Ride transit system to see that the highest degree of safety is maintained at all times.

Required Parent or Guardian Signature

Choose how to sign