VAN USE FORM

Please keep typing  in the box DO NOT hit enter on your keyboard unless you are ready to send the form. After you finish typing in the box, hit tab and it will move your cursor to the next box. When you complete the form, hit enter or click submit and it will be sent automatically.

Please fill in all information:

Name:   Phone:    Member

Ministry:       # of people expected 

Date of Event:      Time:
Date Returned:    Time:

Explain where you are going and what you are doing:
 

A copy of  your license must be on file with the church before you can drive the van.

Maine Licence #               Exp. Date:

Have you had an accident in the last 5 years? Yes No

If 'YES' please explain below:

Do you have experience driving a 15 passenger van?    Yes   No

To be signed by member reserving van:

I agree to follow the guidelines listed in the Policy and Procedure for Van Use. I also confirm that all of the above information is accurate and true.

Signed              Date    Email