Fill out the information below to register for our shuttle services and one of our staff members will contact you with days and routes.

All riders MUST abide by all our COVID-19 rules and regulations to ensure all riders safety! Mahalo for your Kokua.

COVID-19 Shuttle Rules & Regulations

A Po'ohala staff member will properly sanitize the shuttle before and after each ride.
Shuttle will be operating at a reduced capacity to allow for proper spacing between riders.
Maximum of 9 riders inside the shuttle at one time.
Maximum of two passengers per row to allow for ample space between riders. The only exception to this rule will be for riders who reside in the same household.
Marks are not required, but are recommended to worn before entering the shuttle and throughout the ride.
Sanitize Hands before entering the shuttle (hand sanitizer will be provided).
No horseplay and physical contact with other passengers. We also ask all passengers to limit touching of shuttle surfaces as much as possible.

*Passengers experiencing flu-like symptoms or with fever are asked to stay home and will not be allowed to ride the shuttle until all symptoms subside.

Po’ohala Shuttle Service Sign-up Form:

RIDER INFORMATION

RIDER Name

First Name

Last Name

RIDER Date of Birth

YYYY

RIDER Cellphone

If the rider does not have a cellphone, leave blank and provide parent/guardian phone below.

(###)

###

####

PARENT/GUARDIAN INFORMATION

Parent/Guardian Name

Please provide one main parental/guardian contact for rider.

First Name

Last Name

Parent/Guardian Phone

(###)

###

####

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

PICK-UP & DROP OFF INFORMATION

If the rider has multiple drop-off locations, please provide the one most common location. You will be able to add more later.

Public Pick-up Location

Preferred Drop-off Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Additional Information

Preferred Service

How often would you use our services?

What other services would you like to see Po'ohala Ventures providing for our keiki in the future?

Additional notes for rider pick-up & drop-off

COVID-19 Safety Rules & Regulations Agreement

By checking this box I confirm that I have read all safety rules and regulations set forth for the Po'ohala Shuttle Program during the COVID-19 pandemic, and I hereby accept and agree to follow all rules, regulations, and procedures in order to provide as safe of an environment as we can for all riders. I further understand that Po'ohala Ventures and any of its staff volunteers reserve the right to deny shuttle service, without refund, to any rider not abiding by these rules, regulations, and procedures.