Cornerstone Christian School
Cornerstone Christian School VOLUNTEER DRIVER AGREEMENT Parents/legal guardians are requested to volunteer, as needed, to accompany teachers and class students on one or more field trip during the school year. One adult for every 4-5 children is required in order to go on excursions. Grandparents, aunts, uncles or any other close relative are also welcome to volunteer. In addition to the signed Volunteer Driver Agreement, a Washington State Volunteer Background Check is required in order to drive or assist with field trips. The Volunteer Driver Agreement is kept on file in the school office and remains in effect through the current school year. I understand that in order to volunteer as a field trip driver, I am required by Washington State Law, as owner of my vehicle, to carry current automobile liability insurance. I further understand that in accordance with Washington State Law, I am considered the primary insurer and Cornerstone Christian School is the secondary. I agree that: • • • • • • • •
I am 21 years of age or older. I have a valid, non-probationary driver’s license with no physical disability which would impair my ability to drive safely. My vehicle has a valid registration. My vehicle is insured for minimum limits of $100,000 per person and $300,000 per occurrence. I will ensure that each child is individually buckled into the age appropriate child restraint or safety belt as required by law during transport. I will ensure that no child sits directly in front of an air bag; and the stated seating capacity for my vehicle will not be exceeded. I will not partake in any activity that would jeopardize the safety of the students e.g. talking on a cell phone while driving. I will remain with the whole group on the field trip for the duration of the event. I will ensure that my vehicle leaves with the group, does not make unnecessary stops in-between the time of arriving at the destination and returns together with the group to Cornerstone Christian School, unless other arrangements are explicitly stated by the teacher.
Volunteer Driver Signature Printed Name
Volunteer Driver Signature Date
Printed Name
Date
Student Name(s) & Relationship Name of Insured Person (Volunteer): Insurance Company: Vehicle Information: Make License Plate # Name of Insured Person (Volunteer): Insurance Company: Vehicle Information: Make License Plate #
Policy # Model # Seatbelts
Airbags
Side
Year Passenger
Policy # Model # Seatbelts
Airbags
Side
Year Passenger
I am 21 years of age or older. I have a valid, non-probationary driver’s license with no physical disability which would impair my ability to drive safely. My vehicle has a valid registration. My vehicle is insured for minimum limits of $100,000 per person and $300,000 per occurrence. I will ensure that each child is individually buckled into the age appropriate child restraint or safety belt as required by law during transport. I will ensure that no child sits directly in front of an air bag; and the stated seating capacity for my vehicle will not be exceeded. I will not partake in any activity that would jeopardize the safety of the students e.g. talking on a cell phone while driving. I will remain with the whole group on the field trip for the duration of the event. I will ensure that my vehicle leaves with the group, does not make unnecessary stops in-between the time of arriving at the destination and returns together with the group to Cornerstone Christian School, unless other arrangements are explicitly stated by the teacher.
Volunteer Driver Signature Printed Name
Volunteer Driver Signature Date
Printed Name
Date
Student Name(s) & Relationship Name of Insured Person (Volunteer): Insurance Company: Vehicle Information: Make License Plate # Name of Insured Person (Volunteer): Insurance Company: Vehicle Information: Make License Plate #
Policy # Model # Seatbelts
Airbags
Side
Year Passenger
Policy # Model # Seatbelts
Airbags
Side
Year Passenger
