Vantastic Shuttle Reservations

Please fill out as much of the following form as possible to begin reservations. A specialist will contact you to confirm or to collect any missing information.

Personal Details
Your email: *
Parent(s) Name: *
Street Address: *
City: *
Zip/Postal Code: *
Home Phone:
Work Phone:
Cell Phone:
How did you hear about us?
Name of referral:
please specify the employee, customer, newspaper
magazine, homeowners association or search engine
so we may credit participants in our referral program
Child's Information
Child's Name: *
Use the address from above:
Street Address: *
City: *
Zip/Postal Code: *
Medical Conditions
Known Allergies
Booster seat needed? No Yes
Required Text Messaging Information
We provide notification of your child's location by text messaging. Please provide a mobile phone or cell phone number where you can receive these alerts.
Cell phone for Notifications *
Trip / Reservation Information
Start service date
Days needed
AM     M   T   W   T   F  
PM     M   T   W   T   F  

 

Trip Origin

Approximate pickup time:
Origin name and address information (not needed if home address)
Contact at this origin point
Contact's telephone

Destination 1

Must be picked up by:
Delivered to destination by:
Destination name and address information
Contact at this destination
Contact's telephone

Destination 2

Must be picked up by:
Delivered to destination by:
Destination name and address information
Contact at this destination
Contact's telephone

Destination 3

Must be picked up by:
Delivered to destination by:
Destination name and address information
Contact at this destination
Contact's telephone
 
   
By checking this box I signify that I will follow the guidelines with Vantastic Shuttle, LLC, Inc. as outlined in the policies page and agree to the General Terms and Conditions Document.  I understand that my child WILL NOT be transported without my acceptance of both the policies and General Terms and Conditions.