Airport Arrival & Emergency Contact Information

Airport Shuttle Request & Emergency Contact Information

This form is required to reserve an airport shuttle. Please provide us with your airport arrival information and emergency contact information in the event we need to contact your family.

Airport Arrival Information
Name as it appears on passport:*

Format: First Name, Middle Name, Surname
Email*

We will continue using your personal email until you confirm activation of your UMW email account.
Phone Number
Insert the phone number you can be reached at while in the US.
Arrival Information*
- Yes, I would like CIE to provide shuttle service on the designated arrival day.
- No, I do not need CIE to provide shuttle service. I plan to make my own way to Fredericksburg.
Airline*
Please provide your flight itinerary. Be sure to enter the airline and flight number of the flight coming into Dulles International Airport. If it is not a direct flight, be sure to enter the flight information for the flight coming into Dulles.
Flight Number*
Be sure to enter the flight number of the flight coming into Dulles International Airport.
Arrival Date*
Your arrival date must be the designated arrival day (found on your welcome letter) to guarantee airport shuttle service.
MM slash DD slash YYYY
Arrival Time*

: Hours

Minutes
Primary Emergency Contact
Please provide information for the primary person you would like us to contact in the event of an emergency. This is usually a parent or close family member.
Primary Emergency Contact Name*
First Last
Contact's Relationship to You*
Language(s)*

Please list language(s) spoken by your emergency contact person.
Primary Emergency Contact Phone*
Primary Emergency Contact Email*
Primary Emergency Contact Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
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Airport Arrival & Emergency Contact Information

Airport Shuttle Request & Emergency Contact Information

Airport Arrival Information

Primary Emergency Contact

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