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Ridematching Registration Form

Welcome to CommuteWorks ridematching. If you are interested in receiving a list of commuting matches for your area, please fill out the form below.

There is no obligation to join the program; the form simply allows us to see if there are any matches in your area. We will mail or fax the results to you and you can decide at that time if you wish to participate. Thank you.

Ridematching Registration Form
Name:
Address:
City:
State:
Zip:
Home Phone:
 
Where Do You Work?
Institution:
Address:
City:
State:
Zip:
Work Phone:
Work Fax:
Email Address:
How do you prefer to be contacted?
Language Preference:
Tell Us About Your Commute
I commute from (City/Town):
I commute to (City/Town):
I get to work between: a.m. and a.m.
I leave work between: p.m. and p.m.
How flexible are your arrival & departure times?
How Do You Get to Work Now? (Check all that apply):
Drive Alone Subway
Bus Commuter Rail
Walk/Bicycle Boat
Carpool (Please indicate origin)
Vanpool (Please indicate origin)
Other (Please specify) 
 
Which Options Interest You?
Bus
Vanpool
Subway
 		 Commuter Rail
Boat
Walk/Bicycle		 Carpool
All
If Carpooling, I Prefer To:
Drive only
Ride only
Share the driving
 
If Vanpooling, I Prefer To:
Drive only
Ride only
Share the driving
 
Please indicate the number of days you wish to rideshare:

 
Thank you for registering with CommuteWorks' Ridematching Program. By submitting this form, you state that you have read and agree to the Authorization to Release Transportation Information notice, below.

The CommuteWorks Coordinator will contact you soon.

Authorization to Release Transportation Information

By registering for these programs you authorize CommuteWorks to release information provided by you to those requesting information concerning transportation sharing to and from the Longwood Medical and Academic Area. In registering you understand that this information will be distributed to those requesting ride share information through the CommuteWorks Website, Emergency Ride Home Program, and the Pool-Aide Program. 

By registering this document you hereby agree to hold harmless, release, waive, forever discharge and covenant not to sue or bring claim against CommuteWorks, MASCO, their subsidiaries, officers, agents, and, or employees from any and all claims and demands whatsoever which the undersigned or any third party, and the representatives thereof may have against said company, its subsidiaries, officers, agents, or employees by reason of the distribution of such information.

 

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CommuteWorks
A service provided by MASCO, Inc.

375 Longwood Avenue  •  Boston, MA 02215-5328  •  Telephone: (617) 632-2796
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