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Assisted Living & Accessible Transportation Drive-Through Registration Form
Event:
Winterhaven
Festival of Lights
Dates:
December 14 & 16, 2026
Drive-Through Access:
5:30 PM – 6:30 PM
Staging Location & Time
5 PM
Northminster Presbyterian Church
2450 E. Fort Lowell Rd,
Tucson, AZ 85719
Contact us:
(520) 327-0111 or
winterhavenoffice@gmail.com
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These special evenings made possible by:
Organization Name
*
Your answer
Organization Type (Check One)
*
Assisted Living Community
Memory Care Community
Skilled Nursing Facility
Independent Living Community
Rehabilitation Center
Behavioral Health Residential Program
Adult Day Program
Group Home / Adult Foster Care
Disability Service Organization
Veterans Facility / VA Program
Hospice Program
Outpatient Healthcare Program
Senior Center
Faith-Based Organization
Nonprofit Transportation Provider
Other:
Required
Organization Address
*
Your answer
Organization Website
Your answer
Primary Contact Name & Title
*
Your answer
Primary Contact Phone
*
Your answer
Primary Contact Email
*
Your answer
Please select your preferred date
*
Day 1
Day 2
Either date works
Required
Number of Vehicles Registering
*
Your answer
Vehicle 1
*
Bus
ADA Bus
Wheelchair Van
Paratransit Vehicle
Other:
Required
Vehicle 1 Make/Model
*
Your answer
Vehicle 1 License
*
Your answer
Vehicle 1 Approximate # of Passengers
*
Your answer
Vehicle 1 Driver Name (optional)
*
Your answer
Vehicle 2
*
Bus
ADA Bus
Wheelchair Van
Paratransit Vehicle
Other:
Required
Vehicle 2 Make/Model
*
Your answer
Vehicle 2 License
*
Your answer
Vehicle 2 Approximate # of Passengers
*
Your answer
Vehicle 2 Driver Name (optional)
*
Your answer
Approximately how many staff/caregivers will accompany participants?
*
Your answer
Please check each statement
*
Our organization understands that pre-registration is required and only approved vehicles will be admitted.
Our drivers agree to follow all directions from Winterhaven event staff, volunteers, law enforcement, and traffic personnel.
We understand staging begins at 5:00 PM at Northminster Presbyterian Church.
We understand drive-through access is available from 5:30 PM to 6:30 PM only.
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