info@cityofbr.org
226 North Michigan Avenue, Big Rapids, MI, 49307, US
231-592-4000
Pickup Days of the Week (Please select all that apply):
Service Begin Date and Time
Service End Date:
Can child be dropped off without seeing an adult?
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
Required Parent or Guardian Signature