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Home Church Bus Ministry Ride Request Form
Please fill out this form to reserve your spot on the bus for a ride to church on Sunday.
Your name
*
Last name
Email address
*
What area of the city are you in?
1. Kentwood/Johnstone
2. Normandeau/Glendale
3. Highland Green/Oriole Park
4. Riverside Meadows/Fairview
5. South Hill/Parkvale/Waskasoo
6. Pines/Michener Hill/Clearview/Clearview Ridge/Timberlands
7. Rosedale/Deer Park
8. Morrisroe/Eastview/Mountview
9. Sunnybrook/Anders/Bower
10. Lancaster/Vanier/Inglewood
11. Westpark/College
Do you use the following and need assitance with:
Wheelchair
Walker
Small Electric Wheelchair
Is this your first time attending Home Church
Select…
Yes
No
Phone number
*
Phone type
Mobile
Home
Work
Other
Address
*
Home
Work
Other
Country
Country
Street address
Apt/unit/box (optional)
City
State
Postal code
Are you receiving a Hamper this week?
*
This is only for riders who have called the Home Church office before Thursday and its the 4th week of the month to receive the Hamper.
Yes
No
Household members
+ Add adult
+ Add child
Please add any additional information here so that our team can assist you on the day:
Submit
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