Vehicle Request Please note: All vehicle requests should be calendared 2 weeks in advance. Vehicle request will be given scheduling priority based on the order received and magnitude of the event. All drivers must be approved by Mount Pleasant Baptist Church and be listed on the insurance. Large buses require driver to possess a CDL license. You must pick up the binder along with the keys from the church office prior to trip. ALL paperwork inside the binder must be completed and returned with the keys upon return. Applicant will be notified upon approval of request. Your Information Please enter your contact information. Name * Your name, not the name of the driver(s). Email * Phone Number * Street Address * City * State * AL AK AR AZ CA CO CT DE FL GA HI ID IL IN IA KS KY LA ME MD MA MI MN MS MO MT NE NV NH NJ NM NY NC ND OH OK OR PA RI SC SD TN TX UT VT VA WA WV WI WY Zip Code * Event Info Name of Group/Ministry * Primary Driver(s) for this trip * One per line Pickup Date * Pickup Time * 12 1 2 3 4 5 6 7 8 9 10 11 : 00 30 AM PM Return Date * Return Time * 12 1 2 3 4 5 6 7 8 9 10 11 : 00 30 AM PM Please select the Bus(es) you will be reserving. Bus 3 (seats 30, including the driver) Bus 4 (seats 30, including the driver) Bus 1 (HC: seats 15, including the driver) Purpose and brief description of activities * Include destination, activities and number of riders Special requests or comments AGREEMENT: by signing below, the Applicant states that he/she will review the Church Policies and Guidelines (received in an email) and agrees to abide by them at all times during this trip understands that any trip outside the Commonwealth of Virginia must be approved by the Church Administrator, and acknowledges full responsibility for the use of the vehicle in manner set forth in the Church Policies and Guidelines. Electronic Signature * Please type your full name.