Application

Thank you for your interest in applying for the Fast Forward Summer Pass. 

All answers must be completed fully in order for the pass to be approved. Once completed, all responses will be sent to BCTA for review. Upon approval, you will be notified that the pass is ready to be picked up at the Rochester Transportation Center

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* 1. Date of Application

Date

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* 2. Applicant's Name

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* 3. Full Home Address

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* 4. Email Address

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* 5. Home Phone Number

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* 6. Applicant's Cell Phone

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* 7. Applicant's Age Today

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* 8. Date of birth

Date

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* 9. Gender

Parent / Guardian Contact Information (Emergency Contact if Over 18)

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* 10. Name

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* 11. Full Home Address

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* 12. Email Address

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* 13. Home Phone Number

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* 14. Cell Phone Number

BCTA Summer Youth Pass Disclaimer:
By signing this document, you (the youth and the parent or guardian) agree that all information listed above is accurate and factual. Through signing up for the BCTA Summer Youth Pass, you (the youth and the parent or guardian) understand that the BCTA Summer Youth Pass is able to be used on any Fixed Route BCTA bus to any Fixed Route BCTA destination, and that it is valid from June 1, 2023 thru August 31, 2023. You (the youth and the parent or guardian) understand that this pass will allow the above listed youth to ride any Fixed Route BCTA bus for free to any Fixed Route BCTA destination. Any behavioral issues that arise that are in contradiction to the rules that BCTA has set forth in regards to riding a Fixed Route BCTA bus will be directed to local police, per BCTA policy. This pass is not valid for use on the DART bus. No duplicate BCTA Summer Youth Passes will be issued.
DISCLAIMER: By typing your name below, you are signing this application electronically. You agree that your electronic signature is the legal equivalent of your manual signature on this application.

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* 15. Applicant Signature

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* 16. Parent / Guardian Signature (Applicant is under the age of 18)

PROOF OF AGE DISCLAIMER

In order for your pass to be processed, you must provide proof of age at the Rochester Transportation Center. Acceptable forms of proof include birth certificate, passport, school ID (if date of birth or age are shown), driver's license, or state-issued ID.

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