Request-A-Ride


Must be 24 hour advance notice

At Prairie Hills Transit, we’re honored that you trust us to provide your child(ren) with safe, reliable transportation between home, school, activities or daycare.
* Our ride availability schedule follows the school district’s calendar and snow closing policy.*
(If you or your daycare or private pre-school have a different schedule than the school district, please notify us in advance so we can accommodate your child’s ride schedule.)

2019-2020 School Year

YOUTH TRANSPORTATION FORM 

Form can be downloaded, completed and emailed to dispatch@prairiehillstransit.com or faxed 605-642-6434.  Otherwise complete the below online registration along with contact to dispatch 605-642-6668 to confirm the registration was received.

Sign-up and payment:
A completed and signed registration sheet (for each child) and payment must be received at least 24 hours prior to first pick-up.  You may register by using the fillable online form and paying immediately by credit/debit card; stop in our office to complete a form and make payment (cash, check or credit/debit card accepted); or mail completed registration form to 2015 Tumble Weed Trail., Spearfish, SD  57783 with payment. 
(Checks or credit/debit card payments are accepted in the office or by phone.)
Feel free to call us if you have questions, 642-6668  (or toll-free 877-673-3687).


Trip cost choices:  (see chart below for prices) ($2 per one way trip)

School-year pass
Full-time
4 days (M-Th)
3 days (M/W/F)
2 days (T/Th)
One-way
$346.00
$274.00
$200.00
$144.00
Round-trip
$692.00
$548.00
$400.00
$288.00
 
 
 
 
 
Semester pass
Full-time
4 days (M-Th)
3 days (M/W/F)
2 days (T/Th)
One-way
$174.00
$138.00
$100.00
$62.00
Round-trip
$348.00
$276.00
$200.00
$124.00
         
Kindergarten/preschool passes - Same as above prices.
         
20-trip pass -  for occasional riders or those who choose to pay as they go. (A “trip” consists of each one-way ride. Pass is tracked by PHT and can be used for year-round activities.)  Riders without a set schedule must call a day in advance to schedule a ride.

 


Child's Information

 

 

 

Parent and/or Guardian Information  
   
   
Emergency Contact if parent or guardian cannot be reached:
   
DayCare Information (if applicable)  
   
School Information  
   

Schedule Trip(s)

 

Pickup Start Date

Pickup From Name & Address:

Take to Name & Address:

School/Daycare Start Time

Trip Method:


Trip Choice:


Trip Qty:


Trip Days (if not Mon-Fri):

Monday Tuesday Wednesday Thursday Friday

Pickup From Name & Address:

Take to Name & Address:

School/Daycare End Time

Quantity (1 ticket = one-way trip) :

(Each Trip is $2.00)

   
Billing Information  
   
 I agree to allow Prairie Hills Transit to provide transportation for my child. I will notify PrairieTransit as soon as possible of any scheduling changes or cancellations. If adequate verbal or electronic cancellation notice of one hour is not given nor a message left on voice mail, e-mail or by using online scheduler, you will be charged a $2.50 fee.


Customer Information

Name *

Phone *

Email *

Pick Up Location & Time

Pickup times for in-town service are 30 minutes before an appointment.
Pickup times will be 45 minutes if assistance is needed or outside city limits.

Pick Up Date*

Select Date

Appointment time

AM PM

Pick Up Location Name *

Street Address *

Suite/Apt/Unit #

City *

Zip *

Phone Number

Is this your home address? *


Is this an Assisted Living location?

Yes No

 


Additional information that may be needed, for example, certain door at either pick-up and/or drop off location.


Drop Off Location

Drop Off Location Name *

Street Address *

Suite/Apt/Unit #

City *

Zip *

Phone Number


Return Trip Information

Is a return trip needed? *


If yes, please enter

 

Return Trip Date*

 Select Date

Return Trip Time*

AM PM Will Call when finished

Additional information that may be needed, for example, certain door at drop off location.

Return Pick up Address

Same as drop off

Different than drop off

Location Name

Street Address

Suite/Apt/Unit #

City

Zip

Phone Number


Trip Details

Please select any mobility device(s) that traveler(s) will use   

Service Animal

Car Seat

Scooter

Wheelchair

Wheelchair - Can Transfer

Wheelchair - Oversized

Wheelchair - Electric

Unknown/Other

 

Escort (a person can ride with the customer for assistance only – no charge)

Special Instructions
500 characters max.

 

 

Quantity (1 ticket = one-way trip) :

 


Customer Information

Name *

Phone *

Email *

Pick Up Location & Time

Pickup times for in-town service are 30 minutes before an appointment.
Pickup times will be 45 minutes if assistance is needed or outside city limits.

Pick Up Date

Select Date

Appointment time

AM PM

Pick Up Location Name *

Street Address *

Suite/Apt/Unit #

City *

Zip *

Phone Number

Is this your home address? *


Is this an Assisted Living location?

Yes No

Additional information that may be needed, for example, certain door at either pick-up and/or drop off location.


Drop Off Location

Drop Off Location Name *

Street Address *

Suite/Apt/Unit #

City *

Zip *

Phone Number


Return Trip Information

Is a return trip needed? *


If yes, please enter

 

Return Trip Date*

 Select Date

Return Trip Time*

AM PM

Additional information that may be needed, for example, certain door at drop off location.

Return Pick up Address

Same as drop off

Different than drop off

Location Name

Street Address

Suite/Apt/Unit #

City

Please select an item.

Zip

Phone Number


Trip Details

Please select any mobility device(s) that traveler(s) will use   

Service Animal

Car Seat

Scooter

Wheelchair

Wheelchair - Can Transfer

Wheelchair - Oversized

Wheelchair - Electric

Unknown/Other

 

 

Escort (a person can ride with the customer for assistance only – no charge)

Special Instructions
500 characters max.

 

 

Quantity:

 

Additional Info