Student Transportation in Private Vehicles Form

Student Transportation in Private Vehicles Form 
 This form is to be completed and forwarded to the Assistant Superintendent of Schools whenever a private vehicle is used for a school-sponsored activity. 
 School ___________________________________ Date ________________________ 
 Driver’s Name _________________________________________________________ 
 Driver’s Age ____________ Time of Activity: ___________ Leave ___________ 
 Year and Make of Vehicle __________________ Return ______________________ 
 Purpose of Activity ______________________________________________________ 
 Number of students ________ Destination ______________________________ 
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 Signatures of the adult and principal on this form indicate that all procedures found in district policy have been followed. Verification of vehicle safety, driver’s license and insurance requirement will be made by the school principal. 
 In addition, a letter explaining the activity will be forwarded to the parent of each student involved which will be returned to the school with the parent’s signature. 
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 Adult Driver ___________________________________________________________ 
 Principal ______________________________________________________________ 
 Assistant Superintendent ________________________________________________