Safe Rides Application
Safe Rides Application
First Name *
Last Name *
Age *
Current Grade *
Why do you want to be a member of safe rides? *
Home Phone
Student Cell Phone *
Student Email *
Safe Rides Rules *
Required
Juniors may not drive until the second semester regardless of how they answer the following question. Juniors who cannot fill out drivers information at this time should select that they will not be driving. They will be able to submit their information and choose to drive at the start of the second semester.
Driving Status *
Student E-Signature *
Required
Portion for Parents/Legal Guardians
The following section must be filled out by the parent or legal guardian of the applicant
Parent/Legal Guardian First Name *
Parent/Legal Guardian Last Name *
Parent/Legal Guardian Home Phone *
Parent/Legal Guardian Cell Phone *
Parent/Legal Guardian Email *
Volunteer Policy *
Required
Parent/Legal Guardian E-Signature *
Required
Issue Date of License *
MM
/
DD
/
YYYY
My Child has permission to drive the family or his/her car *
Required
Student E-Signature *
Required
The Car is insured by *
Liability Verification *
Required
Portion for Parents/Legal Guardians
The following section must be filled out by the parent or legal guardian of the applicant
Parent/Legal Guardian E-Signature *
Required
Submit
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