Palos Verdes Peninsula

Exhibit

E 3541.1

Business and Noninstructional Operations

School-Related Trips

EXHIBIT A

TRANSPORTATION FOR SCHOOL-RELATED TRIPS

SCHOOL DRIVER REGISTRATION FORM

Driver (circle one): Employee Parent/Guardian Volunteer

Name:_______________________________________ Date of Birth:_______________

Address:___________________________________ Driver's License No.:____________

Expiration Date:______________________________

Telephone No.: ( )_________________________

VEHICLE INFORMATION

Name of Owner:_____________________________ Year:_______________

Address:___________________________________ Make: ____________________

License Plate No.:______________

Registration Expires:__________________ Seating Capacity:__________

INSURANCE INFORMATION

Insurance Company: __________________________ Policy No.: _________________

Telephone No.: ( )_____________________ Expiration Date:_______________

Liability Limits of Policy:_________________

DRIVER STATEMENT

I certify that I have not been convicted of reckless driving or driving under the influence of drugs or alcohol within the past five years and that the information given above is true and correct. I understand that if an accident occurs, my insurance coverage shall bear primary responsibility for any losses or claims for damages.

Name___________________________________________ Date_________________________

Exhibit PALOS VERDES PENINSULA UNIFIED SCHOOL DISTRICT

version: March 22, 2001 Palos Verdes Estates, California

EXHIBIT B

TRANSPORTATION FOR SCHOOL-RELATED TRIPS

DRIVER INSTRUCTIONS

When using your vehicle to transport students on field trips or other school activity trips, please:

1. Be sure that you have registered with the district for such purposes and have a valid driver's license and current liability insurance at or above the minimum amount required by law for each occurrence.

2. Check the safety of your vehicle: tires, brakes, lights, horn, suspension, etc.

3. Carry only the number of passengers for which your vehicle was designed. If you have a truck or pickup, carry only as many as can safely sit in the passenger compartment.

4. Require each passenger to use a safety belt.

In case of emergency, keep all the children together and call 378 - 9966 x 227.

Exhibit PALOS VERDES PENINSULA UNIFIED SCHOOL DISTRICT

version: March 22, 2001 Palos Verdes Estates, California