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Department of Aging
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CountyRide Registration

Registration Forms (PDF) may be downloaded or obtained at senior centers, the CountyRide office, web site address, faxed, or mailed upon request. Registrations can be completed in person, mail, or fax. Send a completed form to the CountyRide office. Required Information includes the client's full name, home address, home phone number, date of birth, and an emergency contact. Income information per month is required only if the client is applying for low income benefits for Priority One.

An online registration form will be available in the near future.

All information provided to CountyRide is used to schedule trips, obtain and account for funding, and assist in long range planning to meet the transportation needs of Baltimore County citizens. Additional information may be obtained by calling 410-887-2080 or you may also send an email to countyride@baltimorecountymd.gov.

Mail completed forms to:
Baltimore County Department of Aging
CountyRide
611 Central Avenue
Towson, Maryland 21204

Fax completed forms to: 410-887-8281.

After registration, a welcome package will be sent to you. The package will contain the CountyRide General Information book, Brochure, the Trip Information Form, the most recent copy of the CountyRide newsletter, and any other recent brochures. The Trip Information Form is for your use at home. This will assist you in scheduling your ride.

Revised February 26, 2014

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