Oakwood Live! Transportation

First Name *

Last Name *

Email Address *

Mobile Number *

Street Address *

Address Line 2

City *

State *

Zip Code *

Age

What grade are you in? *

Name of school *

Church name *

Chaperone name

Age

Relationship to student

Mobile number

Emergency contact *

Name *

Relationship to student/chaperone *

Mobile number *

Email *

Payment Options *

Chaperone: $50.00 (non-refundable)

Student Payment in Full: $250 (non-refundable)

Student Deposit: $50 (non-refundable)

Student Remaining Balance $200 (non-refundable)

***Deadline to secure a spot: Sunday, September 15, 2024, 11:59pm***

I agree to attend a mandatory orientation for ALL riders: Tuesday, September 17, 2024, 7pm, via Zoom

Current Total:

$0.00