Become a Member

As a pre-arranged transportation service, the first step to using Grasshopper Shuttle is to become a member.  Use our quick and easy on-line registration form or register by phone.  All information is kept confidential.  

Benefits of Membership
Grasshopper members receive many benefits, including:

  • New member discounts
  • Earn Grasshopper Points to use towards future rides and other benefits
  • Referral benefits for referring friends and colleagues

 

Kids Service
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+ $20 One-time Applications Fee
+ $10 Annual Membership Fee
Kids FAQ's l Kids Prices l « Back  
   
Parental Information
   
Parent's First Name : * Parent's Last Name : *
Spouse First Name : Spouse Last Name :
Parent's Phone Number:* Phone Number 2 : *
Street Address 1 : * Street Address 2 :
City : * State : *
Zip : * Email Address : *
Emergency
Contact Name : *		  
Name of Referral :
Emergency
Contact Number : *		  
   
   
Passenger Information
 
Child's First Name : * Child's Last Name : *
Child's Address 1 : Child's Address 2 :
City : State :
Zip : Home Phone :
Child's Cell Phone : School Attended : *
Medical Conditions : * Known Allergies : *
Booster seat needed? : * No