Vehicle Owner/Driver Waiver of Liability
Provide your details and certify vehicle coverage and eligibility before using a private vehicle for school-related student travel.
Driver Full Name
*
First Name
Last Name
Driver Date of Birth
*
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Month
-
Day
Year
Date
Note: Driver must be 21 years of age or older.
School, Activity, or Event
*
Date(s) of Travel
*
Vehicle Make
*
Vehicle Model
*
Vehicle Year
*
License Plate Number
*
Required Driver and Vehicle Certifications
*
I am twenty-one (21) years of age or older
I am free of convictions for alcohol or other substance abuse violations
The vehicle is covered by liability insurance
The vehicle has passed the state-required safety inspection
I understand that use of private vehicles for school-related student travel is strongly discouraged, and I accept full responsibility and waive claims against Garfield County School District for liability arising from my transport of students in this vehicle (Disclaimer per Policy FFC).
Driver Signature
*
Date Signed
*
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Month
-
Day
Year
Date
Submit Waiver
Submit Waiver
Should be Empty: