Request for Use of Church Bus
Note: The Organization is required to do the following:

1. All bus requests must be 14 days in advance.
2. Replace fuel used.
3. Make sleeping arrangements for the bus driver when the trip requires staying overnight.
4. Leave the bus clean upon return.

Organization Requesting *
Your answer
Name & Title of Person Requesting Bus/ Phone Number *
Your answer
Date & Time bus required: *
MM
/
DD
/
YYYY
Time
:
Number of Persons traveling: *
Your answer
Destination of Activity: *
Your answer
For Office Use Only: Name of Driver:
Your answer
For Office Use Only: Chauffer License Number/ Expiration Date::
Your answer
For Office Use Only: License Verified by:
Your answer
For Office Use Only: License Status:
License Status:
For Office Use Only: Signature and date:
Signature and date:
Your answer
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