Ride Responsible Application
Are you throwing an event and want to make sure that your attendees get home safely? 

Well, you have come to the right place! 

Ride Responsible is a program led by the School Community Youth Collaborative (SCYC) and the Coalition on Responsible Driving (CORD). Our mission is to help reduce impaired driving in La Plata, Montezuma, and Dolores Counties. So, we would like to provide you with the option of including a safe transportation alternative at your event! 

Please fill out the following application to see if we can help you provide safe transportation at your next event.

If you would like more information, please feel free to reach out to the CORD Coordinator, Emily Spahn, at espahn@scyclistens.org or visit our website at https://www.scyclistens.org/cord 
Sign in to Google to save your progress. Learn more
What is your name?

What is your email address?
What organization do you work for?
Where is your organization located?
Clear selection
Tell us about the event that you need safe rides for:
What is the date of the event? 
MM
/
DD
/
YYYY
Will you be serving alcohol?
Clear selection
How many people do you expect to need rides?
Clear selection
How did you hear about Ride Responsible?
Clear selection
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of School Community Youth Collaborative. Report Abuse
Google Forms