EEAE-E: Student Transportation In Private Vehicles

Vancouver School Board

VOLUNTEER DRIVER REGISTRATION AND APPROVAL FORM

SCHOOL: ________________________________________________________________________________________

NAME OF OWNER: ________________________________________________________________________________

ADDRESS OF OWNER: _____________________________________________________________________________

_________________________________________________________________________________________________

NAME OF DRIVER: ________________________________________________________________________________

ADDRESS OF DRIVER: _____________________________________________________________________________

STAFF:                   STUDENT:              PARENT:                OTHER: _______________________________________

                                                                                                                         Specify

VEHICLE TO BE USED:                                       Vehicle 1                                         Vehicle 2

YEAR/MAKE/STYLE:                              __________________________            _____________________________

COLOUR:                                             __________________________            ____________________________

LICENSE PLATE NO. (BC ONLY)               __________________________            ____________________________

PASSENGER CAPACITY                          __________________________            ____________________________

# FUNCTIONAL SEAT BELTS                   __________________________            ____________________________

# AIR BAGS *                                        __________________________            ___________________________

1. NO child 12 years or under can be sitting in the passenger front seat where there is an air bag. If there is an air bag, that seat will have to remain empty.
2. As a general rule, children 12 years of age or younger should ride in the back seat away from air bags. If the back seat has air bags make sure the child does not lean against them, and the area in front of the air bag is free from books, toys, or anything that could become a projectile if the air bag deploys.
3. NO child 4 years or under, OR 40 LBS. OR UNDER, can travel in a car without an approved car seat which is properly attached to the frame of the seat. This does not mean just held on with a seat belt. THIS IS AN ENFORCEABLE LAW. This is NOT something that could be attached just before a field trip for the purpose of the trip
4. Not the Law, but considered BEST PRACTISE and highly recommended: young children over 40 Ibs. should use a booster seat, which is portable and used with the shoulder and lap seat belt. However, the parent would have to provide the booster seat, and it would be their responsibility to insure that the person who is driving the car knows how to use it properly.

All "trip drivers"+, including volunteer drivers are advised that, in order to bring into effect the Board's excess liability insurance, they must:

(a)    Use a licensed automobile which carries valid automobile Third Party Liability insurance as required under BC legislation;

(b)    Provide the school board with prompt written notice, with particulars, of any accident arising out of the use of a licensed automobile during a trip on board-related business;

(c)    Be aware that the school board's Excess Automobile Liability insurance comes into effect only after the vehicle owner's primary Third Party liability insurance limit has been exhausted;

(d)    Be aware that any damage to the volunteer's vehicle, the cost of any insurance deductible or premium adjustment as the result of an accident while the vehicle is being used on board-related business is NOT covered by the school board's Excess Automobile Liability insurance.

A "trip driver" is defined as any person authorized by the board who has agreed to be a driver for a certain trip while they are driving their own or another licensed automobile. This includes, but is not limited to: Trustees, employees, teachers, parents, volunteers, officials of the school board

Approval for the use of the above described vehicle(s) when driven by by                                                                             to

                          (Name of Driver(s)

to assist the school in connection with school activities is granted until 20 ________  June 30.

DRIVERS STATEMENT:

 I certify that I have a valid class                               driver's license no.                                    ; the above vehicle information is accurate; the vehicle(s) listed above is/are licensed and insured in the Province of British Columbia; and I have had no moving violations, no impaired driving charges, and no criminal charges related to a motor vehicle in the past 24 months. I am aware that for safety reasons, I and all passengers must use seat belts, and that children 12 years or under must not be placed in the front passenger seat equipped with an air bag. I agree to operate the vehicle(s) in a safe and legal manner, and I will not operate the vehicle(s) if a seat belt is not used or a child 12 years or under is placed in a seat with an air bag.

DATE:                                                               Signature of Driver:  ______________________________________

DATE:                                                               Signed: _______________________________________________

*If vehicle is to be operated by person other than owner, the following statement must be completed. I consent to the above described driver operating the vehicle and transporting passengers in connection with school activities.

Distribution Key:

White:    Original to Driver

Yellow:   Copy to School Records

 Signed: ______________________________________________

                                                                                                                                       Owner

REG-SO-004 (Rev. 4, 06-06