ROVER Registration For Seniors

Rover Senior Application

First Name*

Last Name*

Address 1*

City*

State*

Zip*

Date of Birth (yyyy-mm-dd)*

Proof of Age (Acceptable file types are: .jpg, .pdf, or .png)*

Phone Number*

Cell Phone Number*

Emergency Contact Number*

Email

lift-equipped vehicle?

 Yes

Please indicate which type.

 for wheelchair for walker for other reason

Do you require any special assistance?

 Yes No

Do you require oxygen?

 Yes No

Will you need to travel with an escort?

 Yes No

Is there any other information we should be aware of?*

Enter the code*

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If you’re a resident of Chester County age 65 years or older, you’ve come to the right place! All residents of Chester County age 65 years or older are sponsored to ride ROVER Community Transportation. All rides must be pre-scheduled and fares are calculated based on trip purpose and distance to be traveled. Fares are given when reservations are made or upon request. But first you have to register by completing and submitting the form at left. Please note, proof of age is required. When submitting form via our website, you’ll need to upload a digital photo or scanned image of your proof of age.

The following documents may be used for proof of age:

Driver’s license (current or expired)
Passport (current or expired) or naturalization papers
INS Resident Alien card
Birth certificate or baptismal certificate (with date of birth)
Armed forces discharge papers
Veterans Universal Access I.D. card
Statement of age verification from Social Security Administration
Department of Transportation non-driver’s license

Registering via email: you may email us at newriders@krapfbus.com. Download and complete a senior registration form from our website and attach it, together with a copy of proof of age, to your email message. We will respond at our earliest convenience. Please note: to register for any other program, please call our office at 484.696.3854.

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