Cornerstone West LA Request Ride Form
Please fill this out by Friday before 12pm so we can get you a Lyft code before Sunday to use.
First Name *
Your answer
Last Name *
Your answer
Cell Phone Number *
Your answer
E-Mail Address *
Your answer
Preferred Method of Contact *
I attend: *
Your address if you do not live within 0.5 miles of the UCLA dormitories (your address is needed for the Lyft code to work; you will not be solicited mailings)
Your answer
Service Attending *
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