TAVT Registration Form

Takes A Village Transportation

352 University Ave SW, Suite N106, Atlanta, GA 30310

amia@tavt4families.com

www.tavt4families.com

(678) 595-1911
AUC SHUTTLE REGISTRATION FORM

Off campus housing shuttle services
Student Name*

First NameMiddle InitialLast Name
Birth Date

MonthDayYear
MaleFemale
School:*
Referred By:*
Apartment Name & Address*

Apartment Name

Street Address

CityState / Province

Postal / Zip Code
Phone Number*
Please enter a valid phone number.Format: (000) 000-0000.
Email*
example@example.com
Emergency Contact*

First NameLast Name
Phone Number*
Please enter a valid phone number.Format: (000) 000-0000.
Email*
example@example.com
Relationship to student*