Ride Request — New Life Praise Center

Question 1

Do you currently have reliable transportation to attend religious services?

Yes No

Question 2

If not, what is the main barrier?

No vehicle Can't drive Cost of gas or rideshare Health or mobility issue Other

Please tell us the barrier

Question 3

This service would currently only be available for our 11 am Sunday service.

Would you use a free pickup and drop-off service for the 11 am Sunday service?

Yes Maybe No

Question 4

Where should we pick you up?

This helps us plan efficient pickup routes — your information stays private and is only used for coordinating rides.

Street address

City State ZIP

Question 5

How many people in your household need a ride?

Question 6 · Optional

A little more about you

Age range Mobility needs

Wheelchair accessible Walker or cane None

Question 7 · Optional

How can we reach you?

Name Phone Email