Car Caravan Registration | Alliance of Families for Justice Powerbase

Your Information

First Name

Last Name

Phone Number

Street Address

If you are requesting transportation, you must provide your physical address so we can coordinate carpooling. Please note that we are exploring the possibility of carpooling but cannot guarantee transportation for anyone who doesn’t have their own vehicle.

City

Postal Code

State/Province

Communication Details

AFJ Mailing List

Yes

Emergency Contact Name

Emergency Contact Phone Number

Do you have your own vehicle?

Yes

Is anyone else attending with you?

Yes

If so, please enter their information below in the "guest" boxes.

If you do not have your own vehicle, are you and your guests in need of transportation in order to attend?

Yes

N/A

We are exploring the possibility of carpooling but cannot guarantee transportation for anyone who doesn’t have their own vehicle.

Guest 1

First Name

Last Name

Guest 2

First Name

Last Name

Guest 3

First Name

Last Name

Is there anything else you want us to know?