VEHICLE REQUEST FORM

Name *
Name
Address *
Address
Phone *
Phone
Background Policy *
I understand that it is my responsibility to make sure that my chaparones/leaders have completed their background check if the activity involves minors
Medical Waiver Policy *
I understand that it is my responsibility to have permission slips or medical waiver release of liability for all persons under the age of 18
Date vehicle is needed *
Date vehicle is needed
Start time *
Start time
Return time *
Return time
Is the driver already on church insurance? *

*Trash must be removed from the building and placed in provided dumpster*

To arrange for building access call the office at 330-225-4366

(All activities must be complete (including cleaning) before 10:59pm as the alarm will be automactically set)