Project Safe Ride Initiative Form

Project Safe Ride Initiative Form

Complete this form to organize your event's ride safety and logistics.
Organization Information
Name of Person Completing Form
Organization Name
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Email Address
example@example.com
Event Details
Name of Event
Event Date

MonthDayYear
Date
Event Start Time

Hour Minutes

AM/PM Option
Event End Time

Hour Minutes

AM/PM Option
Event Location (Full Address)

Street Address

Street Address Line 2
CityState / ProvincePostal / Zip Code
What’s Included
- Unlimited Uber ride vouchers for your guests
- Each voucher covers up to 2 passengers per ride
- Custom QR code for easy access to rides
We Ask That You
- Share the QR code in at least one post before the event
- Display the QR code at the event (signage or screen)
- Provide your own signage or display method for the QR code
- Promote rides as safe transportation to and from the event
Agreement
I understand how the Safe Ride Initiative works and agree to the expectations listed above.
Date

MonthDayYear
Date
Should be Empty: