Competitive Sports Driver Form

DRIVER & VEHICLE INFORMATION
If you are able to help drive students to games, please complete this form. To complete this section, you will need photos of your DRIVER'S LICENSE and INSURANCE POLICY DECLARATION PAGE showing that you have liability coverage of at least $100,000 of coverage per occurrence.
Which Sports Can You Drive For?*

Girls Basketball (7th)Girls Basketball (8th)Boys Basketball (7th)Boys Basketball (8th)TennisFlag Football (7th)Flag Football (8th)Girls Volleyball (7th)Girls Volleyball (8th)Cross Country
Name (as listed on your driver's license)*

First Name Middle Name Last Name
Driver Type*

EmployeeParentVolunteer
Date of Birth*

MonthDay Year
Date
Address*

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
Email*
example@example.com
Phone Number*
Please enter a valid phone number.
Driver's License #*
Expiration Date*

MonthDay Year
Date
Upload Photo of Driver's License*

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Vehicle Information

If you are entering a second driver from the same household and the vehicle information is the same for both drivers, please indicate below and list the name of the other driver. YOUR UPLOADED INSURANCE POLICY DECLARATION MUST LIST BOTH NAMES.
Did you already enter this same vehicle information for another driver?*

YesNo
Name of other driver with the vehicle information entered:*
provide the name of the other person in your household with the same vehicle information that you already entered. YOUR UPLOADED INSURANCE POLICY DECLARATION MUST LIST BOTH NAMES.
Vehicle Registered To*

First Name Last Name
Vehicle Registration Address*

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
License Plate*
Year*
Make*
Model*
How Many Passengers Can This Vehicle Take?*
not including the driver
Registration Expiration*

MonthDay Year
Date
Upload Photo of Insurance Policy Declaration Page*

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This image must include policy coverage that reflects coverage limits. It cannot be just a photo of your card.
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Add a Vehicle?*

YesNo
Vehicle Registered To*

First Name Last Name
Vehicle Registration Address*

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
License Plate*
Year*
Make*
Model*
How Many Passengers Can This Vehicle Take?*
not including the driver
Registration Expiration*

MonthDay Year
Date
Upload Photo of Insurance Policy Declaration Page*

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This image must include policy coverage that reflects coverage limits. It cannot be just a photo of your card.
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Driver's Statement
1. I have registered for driving with the SPMS Tiger Cub Athletic Boosters Club via this form and have a valid Drivers License and current libability of at least $100,000.00 per occurance.
2. The safety of the vehicle to be used has been checked: tires, brakes, horns, suspension, etc.
3. Only the number of passengers for which the vehicle was designed will be transported. In case of a truck or pickup, I will carry only as mnay as can safely sit in the passenger compartment.
4. All passengers and Driver shall wear a seat belt (Vehicle Code 27315)
5. The number of passengers, including the driver, all not exceed the capacity for which the vehicle was designed and should not exceed 10 (ten) (Education Code 39830)
I certify that I have not been convicted of reckless driving or driving under the influence of drugs or alcohol within the past 5 years and that the information given above is true and correct. I give SPMS Ahtletic Boosters permission to request my DMV record through SPMS Athletic Boosters Insurance Carrier and undersand that all DMV information will remain confidential. I understand that if an accident occurs, my insurance coverage shall bear responsibility for any losses or claims for damages.

I certify that I have read and complied with all of the material herein.
Driver Signature*

Clear
Would You Like to Add another Driver?*

YesNo
Should be Empty:

DRIVER & VEHICLE INFORMATION

Vehicle Information

Driver's Statement