Westgate Church of Christ

Van Reservation Form

Date:

Name:

Phone #:

Number of Vans Needed:

Requested Start Date:

Requested End Date:

Requested Time:

Organization Using Van:

Reason for Use:

Covered by Insurance? Yes No

**If you are not covered by our insurance, then you will need to provide written proof of insurance before permissions to use our vans will be given.**

**Westgate Church of Christ is not responsible for gas unless it is a church sponsored event.**

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