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 |