Virginia Rides Field Trip Transportation Request

Transportation Request Form
Note: If this trip includes a drop off on one day and pick up on another, please fill out seperate forms for each day and choose YES on the question "Will this be a one-way trip?"
Do you have an Organization Code?
Organization Code
Please enter your code here...
Which Campus?
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Or click next to continue

Cornerstone Christian Academy
Congressional School
Evergreen Christian School
Nysmith School
Flint Hill School
Gesher Jewish Day School
Episcopal High School
Middleburg Community Charter School
Please complete each section
- Organization Name (If Applicable)
- Full Name
  
  First NameLast Name
- Phone
  Please enter a valid phone number.Format: (000) 000-0000.
- Email
  example@example.com
- Chuck
- Will you be the contact on the day of the event?
- Contact Name
  
  First NameLast Name
- Contact Phone
  Please enter a valid phone number.Format: (000) 000-0000.
- Contact Email
  example@example.com
- Request Type
- Please Describe
- Event Date
  
  MonthDayYear
  2 digit month, 2 digit day, 4 digit yearMinimum 7 Days Notice Required
- Please note that all trip requests require a minimum of seven days' advance notice. Requests submitted with less than seven days' notice might not be approved.
- Will this be a one way trip?
- *Please note that there is a 4 hour minimum charge for all trips.
- Expected Number of Passengers
- Will your trip require travel into Washington D.C. at any point?
- Note: There is a mandatory $51.25 DC Permit Fee for each bus that is required to load or unload in Washington D.C. city limits.
- Will you require wheelchair accessible transportation?
- Pick Up Location
- Pick Up Address
- Pick Up Time
  
  Minutes
  
  AM/PM Option
- Destination Location
- Destination Address
- Arrival Time
  
  Minutes
  
  AM/PM Option
- Departure Time
  
  Minutes
  
  AM/PM Option
- Second Destination?
- Destination (2) Location
- Destination (2) Address
- Arrival Time (2)
  
  Minutes
  
  AM/PM Option
- Departure Time (2)
  
  Minutes
  
  AM/PM Option
- Return Location
- Return Address
- Return Time
  
  Minutes
  
  AM/PM Option
- Special Instructions
- File Upload
  
  Cancelof
- Estimated Service Time and Price
  
  *This is an estimate based on your above inputs that is subject to change.*
- *IF THIS ESTIMATE LOOKS WRONG OR DOES NOT MAKE SENSE, CHECK FOR MISTAKES IN DATES AND TIMES*
- Buses
  Based on Full Size School Bus for estimate purposes.
- DC Permit Required?
- DC Permit Required?
- Estimated Standby Time (hours)
- Standby Rate ($)
- Estimated Standby Fee ($)
- Estimated Drive Time (hours)
  Includes an additional 30 Minutes for mandatory Pre-Trip and Post-Trip Inspections .
- Drive Time Rate ($)
- Estimated Drive Time Fee ($)
- Discount Code?
- 10% Discount
- Estimated Total($)
  Final Invoice may include additional travel time, to and from the base of operations if applicable.
- Estimated Total($)
  Final Invoice may include additional travel time, to and from the base of operations if applicable.
- Please initial to accept this estimate and move forward with the process of scheduling your event?
- Initial
- Please verify that you are human
- Standby 1
- Standby 2
Should be Empty:

Transportation Request Form

Cornerstone Christian Academy

Congressional School

Evergreen Christian School

Nysmith School

Flint Hill School

Gesher Jewish Day School

Episcopal High School

Middleburg Community Charter School