VOLUNTEER DRIVER FORM
Drivers must be 21 years old
Drivers must have a satisfactory driving record.
Name of Driver: ____________________________________________________________
Address: _________________________________________________________________
Driver’s License #: _________________________ State Issued: __________________
Year, Make & Model of Vehicle: _______________________________________________
Insurance Company’s Name: _________________________________________________
Liability Limits:_____________________________________________________________
(Minimum Limits of $100,000/$300,000 Required)
Agent’s Name: ____________________________________________________________
In order to provide for the safety of our students or other members of the parish and those we serve, we must ask each volunteer to list all accidents or moving violations he/she has had in the last three years:
_______________________________________________________________________________________________________
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Please be aware that as a volunteer driver, your insurance is primary. Thank you for helping us with our transportation needs.
_______________________ __________________________
Volunteer Driver Church/School Representative
Vehicle must have a seatbelt for each passenger and the driver.