CHURCH VAN REQUEST FORM
Dallas City Temple Seventh-Day Adventist Church
VEHICLE USE INFORMATION
Departure Date *
MM
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DD
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YYYY
Departure Time *
Time
:
Return Date *
MM
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DD
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YYYY
Return Time *
Time
:
Destination *
Your answer
City *
Your answer
Purpose *
Your answer
DRIVER/PASSENGER INFORMATION
Driver Requested *
Number of Adult Passengers (ages 12 & over) *
Your answer
Number of Youth Passengers (ages 5-11) *
Your answer
REQUESTER INFORMATION
Contact's Name *
Your answer
Contact's Phone Number *
Your answer
Contact's Email *
Your answer
Ministry Name *
Your answer
ACKNOWLEDGEMENT
I understand that this request will be submitted to the church board or executive committee for review and/or approval prior to the event date. I also acknowledge that this request is submitted in good faith, and that the vehicle will not be used for illicit or criminal purposes. *
Required
Submission Date *
MM
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DD
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YYYY
Submit
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