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Private Transportation
 



Name * Home Phone
Address *                    Cell Phone
City  *  State  *  Zip   * Work Phone                     
Drivers License  *    State  *  Expiration  *


Car One Information * (Complete for each car you will be driving.)
Name of Car Owner               
Car Info Make        Model      License #                    State      Year 
     

Car Two Information
Name of Car Owner               
Car Info Make        Model      License #                    State      Year 
     

Insurance
Name of Company
 *   Policy Number  *
Address                      Phone             
 
  *   When does your policy expire?

 *            Does your policy meet minimum state liability requirements?


Driving Record *


  Have you ever had any driver's license suspended or revoked? (if yes please explain)
                   


  Have you had any accidents and /or citations during the past three years? (if yes, please explain)

              



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Drivers Please Be Aware of These Rules:
1. All drivers must have proof of insurance on file at the school office. 
2. All drivers shall be properly licensed and comply with all Federal and State laws for the class of vehicle being operated.
3. All drivers must be a minimum of 21 years old.
4. All drivers must have at least two students in therir vehicle.
5. Driver are NOT TO USE CELL PHONE OR A BLUETOOTH while driving.
6. Private vehicles must be currently insured to comply with state law.
7. Transporting students in the back of an open pickup or truck is prohibited.




*  By emailing this form you agree each statement is true, that you have answered each question 
               to the best of your ability, and that you are aware of drivers' rules.



                DON'T FORGET
                1.  TO GET A COPY OF YOUR PROOF OF INSURANCE TURNED IN TO THE OFFICE.
                2.  TO TURN IN YOUR WASHINGTON STATE DRIVER'S ABSTRACT.