EmailMeForm
Bus Pickup Registration
Please complete this form to request to be picked up for service. By submitting the form, you agree to receive phone calls, emails or text messages from our Transportation Ministry.
Name
First
Last
Email
Phone
###
-
###
-
####
Date of Birth
MM
/
DD
/
YYYY
Which of the following apply?
Yes
No
Special seating
Handicapped accomodation
More than one passenger
Other
I understand that no minor children may ride the church bus unless they are accompanied by a responsible family member age 18 or older.
Questions / Comments / Number of Passengers
