Figge Art museum Trip

Please complete this form if you plan to attend the Figge Art Museum trip in Davenport, IA. This will help us coordinate accommodation and travel.

Name

First Name

Last Name

Email

Cell Phone

(###)

###

####

Travel Arrangements

I need a ride to Iowa

I can provide others a ride to Iowa

I plan to travel on my own

Location

If you need or can provide a ride, please list your neighborhood/town. e.g. Lincoln Park

Accommodation

Please respond if you plan to spend the night in Iowa.

I plan to spend the night on my own

I would prefer to share accommodation with others

I do not plan to spend the night

Confirmation

If you need or can provide a ride or would like to share accommodation with others, may we share your name and phone number with others in the group?

Yes, I'm happy to coordinate with other CHCS members

No, please do not share my information