Illinois College -> Student Life -> IC Rides and Transportation -> One-Way Reservation

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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.

*Scheduled time to arrive in or depart from Springfield:

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

IC Rides Waiver and Release document.

*Waiver and Release

I have read and agree to the IC Rides Waiver and Release policy document.

Illinois College | 1101 West College Avenue, Jacksonville, Illinois 62650 | 217.245.3000 | info@ic.edu

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