Transportation Request Form
We want to make every effort to ensure that there is no hinderance to any person attending 252 the Weekend. Please submit this request form if you are in need of transportation to 252 the Weekend. There is no fee associated with it. Please note that competing this form does not guarantee your spot, you will be contacted via email confirming you spot has been secured upon reviewing your request. For any questions, please contact 252@churchalive.tv. The bus would depart on Thursday, June 6th at 1:30PM (arrive 30 minutes before) and return on Saturday, June 8th between 1:30-2:00PM- information on location will be handled via e-mail.
Are you completing this form for yourself or behalf of someone else?
*
I am completing this form for myself
I am completing this form for someone else
Your Name
First Name
Last Name
Your Email
example@example.com
Your Phone
Please enter a valid phone number.
Relation to Person
Name (Please fill in the information for the person who needs the transportation)
*
First Name
Last Name
Email- we will contact you regarding all information to this email
*
example@example.com
Phone Number
*
Please enter a valid phone number.
How old are you?
*
Birthdate
*
-
Month
-
Day
Year
Date
Address
Briefly describe your need for transportation (please note, this option is for people who would not have any other way to make it to the weekend)
*
Ticket Confirmation
*
By checking this box, I am confirming that I have already purchased my 252 the Weekend conference ticket
Request Form Certification
*
By checking this box, I understand that completing this application does not secure a spot for me on the bus, and that I will be contacted via email with more information
Submit
Should be Empty: