Ride Request Form

Transportation Request Form

For those that need a ride to and from 11:00 am Sunday service.
    Please select all that apply for the current month. If you will be an ongoing for the year Sunday rider, please call 765-477-7259 and make that request.
  • Please enter your first and last name
  • Please enter your preferred email for transportation contact purposes only.
  • Please give the best phone number to contact you to confirm pick-up and location.
  • Please select the number of passengers that will accompany you (if applicable). Include yourself in the number. Any person(s) 13 years of age and younger must be accompanied by an adult.
  • Please list your full address for pick-up and return purposes.
  • Please indicate if transportation is one way or round trip.