Volunteer Drivers

School Year _________ - _________

XYZ Charter students take several field trips each year. In order to provide our children with these opportunities, we ask for volunteer drivers. Please attach the following two items to this completed form and return it to school with your child by ________________________. One per family, please.

A copy of your valid driver’s license

A copy of your insurance card

Student Name: _______________________________ Teacher: ________________________

Parent Name: ____________________________ Daytime Phone: ______________________

Type of vehicle: __________________________ Evening Phone: ______________________

Number of passengers (must have seatbelts) ________________

Passenger side airbag? _____Yes _____No

I am willing to drive for (circle all that apply) Grade: 1 - 2 - 3 - 4 - 5 - 6 - 7 - 8

I will help coordinate drivers for (circle all that apply) Grade: 1 - 2 - 3 - 4 - 5 - 6 - 7 - 8

Parent Signature: ______________________________ Date: _________________________

I. 129