Membership

Ride Membership Form

Rides are available to active members only. Please complete this form before your first ride.

Full Name

Phone

Date of Birth

Street Address

City

State

Zip Code

Emergency Contact Name

Emergency Contact Phone

Notes (optional)

Membership Acknowledgment

I understand rides are only available to active members.

I Agree

ID Requirement

I understand I must show a valid ID before my first ride.

I Agree

Rider Waiver

I understand I ride at my own risk and Kassie's Local Services is not responsible for damages or injuries.

I Agree

Rider Conduct

I understand service can be refused for unsafe or disrespectful behavior.

I Agree