Volunteer Driver Form Revised - Red Deer Public Schools Page 2

Volunteer Driver Checklist

Sign the Student Transportation in Private Vehicles Application attesting to the

acceptance of and compliance with district policies.

Notify my insurance company that I will be acting as a volunteer driver.

Provide proof of one million dollars liability insurance coverage.

A photocopy of the “pink slip” insurance coverage for the vehicle being used.

Authorization to Release Driver’s Abstract

Driver's Name (in full)

Date of Birth

Driver's Address

City

Postal Code

Home Phone No.

Business Phone No.

Driver's License No.

Class

Expiry Date

Volunteer Staff

Volunteer Parent

Seating capacity of your vehicle,

not counting the driver:

I, the undersigned, authorize release of my Driver’s Abstract to the

Red Deer Public School District #104 and/or its Insurance Agents.

_____________________________________

________________________

Volunteer Driver’s Signature

Date

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Parent category: Education