Wufoo

Date MM / DD / YYYY
Name * First Last
Club *
Cell Phone # * ### - ### - ####
Email
Destination *

City/State, School, etc.
Purpose *

Tournament, Away Game, Meeting, etc.
Departure Date * MM / DD / YYYY
Note: If this date is less than 9 days away, it is considered LATE and vehicles are not guaranteed. If a late request is approved, the club will be fined.
Return Date * MM / DD / YYYY
Travel Roster - Typed or Upload

Please provide a list of all people traveling with your club. Include cell phone numbers for at least 3-5 people traveling in case of emergency. Uploaded rosters can be in any format (Word, Excel, etc.)
Motor Pool Information

All fields are REQUIRED if you are requesting Motor Pool. Blank fields will result in a delay in processing your request. It is the responsiblity of the club to make sure only motor pool certified drivers operate Loyola vehicles.
Time of Pick-Up HH : MM : SS AM/PM
Time of Return HH : MM : SS AM/PM
# of People Traveling

This field is REQUIRED if you are requesting motor pool.
# of Vehicles
Type of Vehicle
Mini Van Car Bus/Shuttle

Motor Pool reserves the right to assign vehicles based on need and budget. For example, if you request 3 vans but have 15 people traveling, you may receive 2 vans and a car.
Other info?

Baggage, equipment, questions, etc.
Hotel Information

To get your hotel prepaid on Loyola's credit card, call the hotel to make the reservation then ask them to fax a credit card authorization form to Kate Story at 410-617-5321. You must bring back all receipts from your stay!
Hotel Name
Hotel Phone # ### - ### - ####
Hotel Address
Thank you!

Please click submit below. If you have any questions, please contact Kate Story, assistant director of recreational sports, at kstory@loyola.edu.

You will receive a confirmation email with all the above information.
Do Not Fill This Out

Wufoo

Motor Pool Information

Hotel Information

Thank you!