Guaranteed Ride Home Application

You are registering for EMBARK's Guaranteed Ride Home Program.

Participant Info*

Title First Last Middle Initial

Email Address

Participant Address* Street Address Address Line 2

City State Zip Code

Phone*

(###) ###- ####

Usage Info How many days a week do you ride the bus?* Employer or School Name* What three (3) routes do you use the most?*

GRH User Agreement* I ACCEPT GRH Terms of Agreement

By checking "I ACCEPT," I, the participant, have read and understand the guidelines of the Guaranteed Ride Home (GRH) service. I hereby certify that I qualify for the GRH by traveling to and from my workplace or school by EMBARK bus. I, on behalf of my heirs, successors, or assignees, hereby release and hold harmless my employer, Central Oklahoma Transportation & Parking Authority and the City of Oklahoma City from any liability, claims and demands of any kind whatsoever, including but no limited to any liability for personal injury, loss, theft or damage to my personal property, loss of income, consequential damages resulting from delays or absence of a shuttle or termination of the service. I attest that I use EMBARK Bus service at least three (3) days a week. Furthermore, I understand that if I use this service incorrectly I may be restricted from Using GRH again.