Rider Registration

To register for the Northwest Valley Connect Ride Connect programs:

1. Please submit the Northwest Valley Connect Enrollment form below or print out the enrollment form here and return to Northwest Valley Connect PO Box 9303 Surprise AZ 85374.
2. Once we get the enrollment form back one of our office volunteers will enter your information into the database and will call you to let you know you can now request a ride.
3. Please call 623-282-9300 seven days in advance to request a ride to an appointment.
4. If you have an emergency, you can call the same day and the dispatcher will try to find a volunteer driver for your trip.

Rider Enrollment

  • For statistical purposes only: