Driver and Vehicle Information Form
Please complete this form in order to transport scouts. Your insurance must be current and meet or exceed the minimum state limits listed at the end of this form.

Up to date Youth Protection Training is mandatory for our drivers. This protects not only the scouts from abuse but also protects you from false accusations. Please go to and print out the certificate at the end of your course to give to Todd Schmidt.

Thank you for putting the OUTING in scOUTING!!

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Driver's Name *
First, Last
City and Zipcode *
i.e. Beaverton, 97007
Phone number *
Email Address *
BSA Member ID (if you have one)
First Vehicle Info-- *
Please enter Make, Model, Year ( Honda, Pilot, 2008)
Spouse's name
if applicable
Second Vehicle Info-- if applicable
Please enter Make, Model, Year
Minimum Insurance Requirements:
Oregon's mandatory insurance law ORS 806.010 requires every driver to insure their vehicle. The minimum liability insurance a driver must have is:

Bodily injury and property damage liability:
$25,000 per person;
$50,000 per crash for bodily injury to others;
$20,000 per crash for damage to the property of others

State law also requires every motor vehicle policy to provide:
Person injury protection ( for reasonable and necessary medical, dental and other expenses one year after a crash)"
$15,000 per person

Uninsured Motorist Coverage
$25,000 per person;
$50,000 per crash for bodily injury
I have proper Vehicle Insurance *
Your scout(s) name(s)
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