Milford Church of God
Van Reservation Request Form
Page 1
page 1 of 1
Requester Information
1. Name *
required
First Name
Last Name
Phone *
required
Phone Number
Email *
required
Email Address
2. Trip Information
Date Needed *
required
Click in box to select date
Destination *
required
Purpose of Trip *
required
This trip for *
select one
Select one
Church Use
Personal Use
If Church/Ministry Use, which ministry?
select one
Select one
Adult Discipleship (i.e. LIFE Groups & Keenagers, etc)
Family Ministries
Helps Ministries
Music & Media Ministries
3. Vehicle Requested
Which van(s) are you requesting to use? *
select one
Select all that apply
2002 Van
2024 Van
4. Departure & Return
Departure Date *
required
Click in box to select date
Departure Time *
required
Click in box to select time
Expected Return Date *
required
Click in box to select date
Expected Return Time *
required
Click in box to select time
5. Number of Passengers
Total Passengers *
required
Number of Adults *
required
Number of youth/children *
required
6. Driver Information
Driver #1 Name *
required
First Name
Last Name
Driver #1 Cell *
required
Phone Number
Driver #1 has valid license? *
select one
Select one
YES
NO
If using two vans; driver #2 name
required
First Name
Last Name
If using two vans; driver #2 cell number
required
Phone Number
Driver #2 has valid license?
select one
Select one
YES
NO
* required
