Central United Methodist Church
Tuesday, September 19, 2017
Endicott, New York
Central UMC Van Reservation Request Form
 
 
Please fill out the following information and hit submit to request the use of one of Central's vans.  Please note when planning to pick up the van keys that the church office hours are 9:00am - 2:30pm, Monday through Friday.
 
 

Group Requesting Reservation: 

 

Contact Information:

Person making reservation:
Home phone: 
 Work or cell phone:
E-mail:  
How do you want to be notified? Home Phone Work or Cell Phone E-Mail

 

Van(s) requested:

Check one or both vans requested 12 passenger van 15 passenger van

 

Dates and Times You Want the Van(s):

Van leaves Central at: Date:  Time: 
Van returns to Central at: Date:  Time: 

  

Van Driver Information:

Please note:  all first-time drivers must fill out a van driver information form.   They must also be qualified by the church van committee by visiting the church to receive an orientation to the van and take a quick drive with a member of the church van committee. 

Driver Name(s): Qualified by Van Committee?
Yes        
No         
Yes
No
Yes
No
Yes
No
Yes
No

 

Trip Information:

Destination:
Approximate number of miles:

   

Additional comments or special notes concerning your request: