Precious Cargo of Trumbull

Please complete the form below, or download and print the PDF copy (if you need to download a PDF reader, go here). Once you have the print out, you can mail the form to us:

Precious Cargo of Trumbull
P.O. Box 262
Trumbull, CT
06611

Parent/Guardian Information
Emergency Information
(only used if Parent/Guardian cannot be reached)
Insurance Carrier Name
Child #1
Sex: M F
Child #2
Sex: M F
Child #3
Sex: M F
Release Information/Consent
I have read and understand the policies of Precious Cargo of Trumbull. I give Precious Cargo of Trumbull permission to transport my child/children to a pre-arranged drop off and pick up areas. Precious Cargo of Trumbull has my permission to take my child/children to the nearest hospital in case of an Emergency. I release them of any responsibility of my child/children after drop off.


Our Vehicles
As featured in the Connecticut Post:
When kids need a ride, call Benita: Limo service for children, teens becomes salvation for parents

Copyright © 2003, 2004 by Precious Cargo of Trumbull