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IC Rides One-Way Reservation Form


IC Rides
Reservation and Agreement
(Reservation 24 hours in advance required to guarantee pickup.)

*required fields
Student Information
*Full Name of Passenger
*Student ID
*Cell Phone
*Email
Emergency Contact Information
*Emergency Contact Full Name
*Emergency Contact Phone Number
Part I--Ride Reservation
*IC Rides Schedule
*Pick-Up Location
IC Lincoln Hall parking lot
Springfield, Amtrak station (SPI)
Springfield, Abraham Lincoln Capital Airport (SPI)
Springfield, Greyhound Bus station
*Going to
Illinois College
Springfield, Amtrak station (SPI)
Springfield, Abraham Lincoln Capital Airport (SPI)
Springfield, Greyhound Bus station
Indicate your train/flight connection, either arriving in or departing from Springfield, as applicable.
Airline and flight number (if applicable):
Arrival in Springfield from: (name of city)
Departing from Springfield for: (name of city)
Luggage:
*Number of suitcases
(Enter 0 if none)
*Number of hand luggage/carry-on pieces
(Enter 0 if none)
*Payment Options:
I will pay $5.00 at the time of the ride.
Please charge $5.00 to my student account.
Part II--Agreement
*Agreement
By making this reservation for an IC Ride, I agree to pay $5.00 for each ride (and if payment is not rendered by the time of the trip, to have the fee charged to my student account).
Part III--Waiver and Release
*Waiver and Release
I have read and agree to the IC Rides Waiver and Release policy document.

    
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