Forsyth County Ride-Share Registration Application
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Email *
Forsyth County Department of Transportation
One-time registration Fee is $15.00
First Name *
Last Name *
Street Address *
City *
State *
Zip Code *
Email
Birthday Year 4 Digit Year ONLY and is required for data purposes only *
Is this Rider Email or other Contact? *
Required
Cell Phone Number (Riders MUST carry a mobile phone for safety) *
Emergency Contact Information
Please list two nearby and available contacts
Name, Relationship, Phone *
Ex: George Washington, 555-555-555, Son
Name, Relationship, Phone *
Ex: Gloria Smith, 555-555-555, Sister
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