Ready to Lead (R2L) Atlanta Transportation Request Form R2L Atlanta will be held at Georgia State University on Saturday, February 25, 2017 from 8:00 am — 3:30 pm.
Step 1
Submit Reimbursement Transportation Request Have you turned in your Reservation Form? If not, please submit prior to submitting a Transportation Request Form. Complete this form and email to
[email protected].
Step 2
Fill out School/Program Information School/Program Name:__________________________________________________________________________________ Point of Contact:______________________________________ Title:____________________________________________
Office Number:_______________________________________________ Cell Phone:__________________________________________ Email:_______________________________________________________ Fax Number:_________________________________________ Pick-up Address: __________________________________________________________________________________________
_______________________________________________________ Pick-up Time:__________________________________ Number of Students:_____________________________________ Number of Chaperones__________________________
Step 3
Confirm Transportation Information CHCI will send you a confirmation email with details about your transportation pick-up time and location. Please confirm by responding to the email. Note: Please make sure to update CHCI if the pick-up location or time has changed from when you first submitted this form.
By signing below, I commit on behalf of the school/program stated above to recruit the number of students for which a reservation was placed. I understand that failure to secure the attendance of at least 75% of the students noted on the original reservation form may result in CHCI not providing payment for any transportation services used for purposes of the R2L event. Furthermore, I understand that CHCI will not be responsible for paying any charges incurred as a result of a cancellation or damages on behalf of the above stated school/program.
__________________________________________ Authorized By (Print Name)
__________________________________________ Authorized By (Signature)
_________________ Date