2022 Registration - Bus Captain

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2023 REGISTRATION
- BUS CAPTAIN
- The maximum number of form submissions has been reached. This form is currently not available.
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Bus Captain Address REQUIRED Please fill out this field. Please enter valid data.
  
  City REQUIRED Please fill out this field. Please enter valid data.
  
  State REQUIRED Please fill out this field.
  
  Zip REQUIRED Please fill out this field. Please enter a zip code.
  
  Bus Captain Email REQUIRED Please fill out this field. Please enter an email address.
  
  Bus Captain Mobile Phone REQUIRED Maximum 20 characters Please fill out this field. Please enter a phone number.
  
  Bus Transportation Company REQUIRED Please fill out this field. Please enter valid data.
  
  Bus Company Phone REQUIRED Maximum 20 characters Please fill out this field. Please enter a phone number.
  
  Name of Church/School/Organization REQUIRED Please fill out this field. Please enter valid data.
  
  Arrival Time
  
  Hour REQUIRED Please fill out this field.
  
  Minute REQUIRED Please fill out this field.
  
  Choose one REQUIRED AM PM Please fill out this field.
  
  Departure Time
  
  Hour REQUIRED Please fill out this field.
  
  Minute REQUIRED Please fill out this field.
  
  Choose one REQUIRED AM PM Please fill out this field.
  
  Is your group planning to attend the “Requiem Mass for the Unborn” after the event? REQUIRED Yes No Please fill out this field.
  
  How did you hear about OneLife LA? REQUIRED Please fill out this field.
  
  Did you attend last year? REQUIRED Yes No Please fill out this field.
  
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