Learn to Ride Valley Metro Registration and Consent Form

Learn to Ride Valley Metro Registration and Consent Form
Join us to learn how to use public transportation safely and confidently.

This free event is open to youth and young adults who have disabilities. Participants will learn about Valley Metro services, practice riding a real bus, and explore ways to travel more independently in their community.

Event Details
Date: October 3, 2026
Time: 10:00 AM to 12:00 PM
Meeting Location: Pathway to Work, 1445 E. Guadalupe Rd, Tempe, AZ 85283
Cost: Free

During this event, you will:
- Learn about Valley Metro buses and transportation options
- Practice riding a real bus
- Learn about transportation supports and resources
- Build skills for traveling independently
Important: As part of this event, participants will leave the event location and ride public transportation with support from Diverse Ability Incorporated staff and Valley Metro representatives. Participants should feel comfortable leaving the site and taking part in this hands-on community activity.

This event is free and open to any youth or young adult who has a disability.

Participants under 18 and individuals under legal guardianship must complete this registration form with a parent, guardian, or legally authorized representative.
Participant's Information
Participant's Name

Participant First NameParticipant Last Name
Please provide the best phone number to reach you on the day of the event in case we need to contact you.
Please enter a valid phone number.Format: (000) 000-0000.
Email
example@example.com
County of Residence
Are you under 18 years old/do you have a legal guardian?
Parent/Guardian Information
Parent/Guardian Name

Parent/Guardian First NameParent/Guardian Last Name
Relationship to Participant
(e.g., parent, guardian, etc.)
Parent/Guardian Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Parent/Guardian Email
example@example.com
Accommodations
We are committed to making our events accessible to everyone. Please describe any disability accommodations needed to participate in this event. Note: Advance notice may be required to arrange for some accessibility needs.
Food Allergies and Dietary Restrictions
Do you have any food allergies?
Please list and explain your allergies.

0/150
Do you have any dietary restrictions?
Please list and explain any dietary restrictions.

0/150
Emergency Contact Information
Emergency Contact Name

First NameLast Name
Emergency Contact Phone Number
Please enter a valid phone numberFormat: (000) 000-0000.
Emergency Contact Relationship to Applicant
Acknowledgements
Transportation To and From the Event
Community Travel and Public Transportation Acknowledgment

I understand that, as part of the Learn to Ride Valley Metro event, participants will leave the Pathway to Work location and travel in the community using Valley Metro public transportation as part of a supervised learning activity. I understand that Diverse Ability Incorporated staff and Valley Metro representatives will accompany and support participants throughout the activity. By checking this box, I acknowledge that I have read and understand this information and that either I (if I am the participant) or my child/ward (if I am a parent or guardian) is comfortable participating in this community-based activity. I consent to participation in the event, including leaving the event location and taking part in the supervised public transportation experience.
Media Release

Signing the Media Release is completely optional and is not required to participate in the Learn to Ride Valley Metro event. Choosing not to sign the Media Release will not affect your ability or your child/ward's ability to attend or participate in any event activities.
Participant Media Release/Waiver
Parent/Guardian: Media Release/Waiver
Activity Participation Agreement with Release of Liability and Assumption of Risk Agreement

Please read the Agreement, check the corresponding boxes, and sign to confirm your understanding and agreement.
Activity Participation Agreement with Release of Liability and Assumption of Risk Agreement
By typing my full name below, I understand that my typed name constitutes a legal electronic signature and signifies my consent and agreement to the terms outlined above.
Participant First and Last Name
Date Signed

MonthDayYear
Parent/Guardian: Activity Participation Agreement with Parent/Guardian Release of Liability and Assumption of Risk Agreement
By typing my full name below, I understand that my typed name constitutes a legal electronic signature and signifies my consent and agreement to the terms outlined above.
Parent/Guardian First and Last Name
Date Signed

MonthDayYear
If you have difficulty completing this online form, please email us or call 602-425-5135.
Should be Empty:

Learn to Ride Valley Metro Registration and Consent Form

Participant's Information

Parent/Guardian Information

Accommodations

Food Allergies and Dietary Restrictions

Emergency Contact Information

Acknowledgements

Media Release

Activity Participation Agreement with Release of Liability and Assumption of Risk Agreement