Transportation Ministry

Please fill out this form and click submit.

NOTE: Please submit request by Friday at 12:00 noon for the upcoming Sunday Church Services.

Date

*

Name

*

Address

*

Phone

*

Number Of Adults Needing A Ride

Please select one option.

1 2 3 4 5 6 7 8 9 10

Number Of Children Needing A Ride

Please select one option.

1 2 3 4 5 6 7 8 9 10

Do You Live In...

*

Please select one option.

House Apartment Other

Medical

Known Allergies

*

Medical Conditions ...example seizures, pace maker, diabetes etc ...

*

I give Mt Olive Baptist Church of Greenwood authorization to call 911 and or ambulance transportation to the nearest hospital in the event of an emergency.

*

Please select one option.

Yes No

Do You Need Assistance With Wheelchair or Walker?

*

Please select one option.

Yes No

Description

Please fill out this form and click submit.

Please Fix the Following

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