Driver Information Sheet

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1	TROOP 171 DRIVER INFORMATION SHEET
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3	DRIVER NAME:	____________________________________
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5	VEHICLE YEAR, MAKE, MODEL and COLOR:	____________________________________
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7	VEHICLE LICENSE PLATE:	____________________________________
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9	TRIP DESTINATION:
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11	DRIVER CELL PHONE NUMBER:	____________________________________
12	Gas Reimbursements: Trips over 50 miles one way will be reimbursed for gas. The receipts are due within two weeks of the trip. Please go from full to full on gas purchases for reimbursement.
13	IMPORTANT SAFETY REMINDER - it is against BSA policy and the law to text while driving! Please help to keep our Scouts safe by having a Scout handle the phone for cell calls or texting while driving.
14	SCOUTS/PASSENGERS TO EVENT:	SCOUTS/PASSENGERS FROM EVENT:
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16	____________________________________	____________________________________
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18	____________________________________	____________________________________
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20	____________________________________	____________________________________
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22	____________________________________	____________________________________
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24	____________________________________	____________________________________
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26	____________________________________	____________________________________
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28	____________________________________	____________________________________
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30	____________________________________	____________________________________
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32	____________________________________	____________________________________
33	Please complete this form with first and last name of Scout passengers in your vehicle.
34	Return the list to trip organizer.
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36	Please remember the following:	• Scott - 303 748-7551 • Jeff B. 303 304-1104
37	* DRIVE WITH YOUR LIGHT ON.	* DO NOT DRIVE IN A CARAVAN. SET MEETING POINTS.
38	* TAKE BREAKS AS NEEDED FOR YOU AND THE SCOUTS!	* SAVE ALL GAS RECEIPTS FOR REIMBURSEMENT.
39	* PASSENGERS MUST WEAR SEATBELTS AT ALL TIMES.
40	* PASSENGERS MAY NOT RIDE IN THE BACK OF PICKUP TRUCKS, TRAILERS OR RECREATIONAL VEHICLES.
41	* CALL IF YOU HAVE CAR TROUBLE OR WILL BE LATE ARRIVING.
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43	TROOP 171 DRIVER INFORMATION SHEET
44
45	DRIVER NAME:	____________________________________
46
47	VEHICLE YEAR, MAKE, MODEL and COLOR:	____________________________________
48
49	VEHICLE LICENSE PLATE:	____________________________________
50
51	TRIP DESTINATION:
52
53	DRIVER CELL PHONE NUMBER:	____________________________________
54	Gas Reimbursements: Trips over 50 miles one way will be reimbursed for gas. The receipts are due within two weeks of the trip. Please go from full to full on gas purchases for reimbursement.
55	IMPORTANT SAFETY REMINDER - it is against BSA policy and the law to text while driving! Please help to keep our Scouts safe by having a Scout handle the phone for cell calls or texting while driving.
56	SCOUTS/PASSENGERS TO EVENT:	SCOUTS/PASSENGERS FROM EVENT:
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58	____________________________________	____________________________________
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60	____________________________________	____________________________________
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62	____________________________________	____________________________________
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64	____________________________________	____________________________________
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66	____________________________________	____________________________________
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68	____________________________________	____________________________________
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70	____________________________________	____________________________________
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72	____________________________________	____________________________________
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74	____________________________________	____________________________________
75	Please complete this form with first and last name of Scout passengers in your vehicle.
76	Return the list to trip organizer.
77
78	Please remember the following:	• Scott - 303 748-7551 • Jeff B. 303 304-1104
79	* DRIVE WITH YOUR LIGHT ON.	* DO NOT DRIVE IN A CARAVAN. SET MEETING POINTS.
80	* TAKE BREAKS AS NEEDED FOR YOU AND THE SCOUTS!	* SAVE ALL GAS RECEIPTS FOR REIMBURSEMENT.
81	* PASSENGERS MUST WEAR SEATBELTS AT ALL TIMES.
82	* PASSENGERS MAY NOT RIDE IN THE BACK OF PICKUP TRUCKS, TRAILERS OR RECREATIONAL VEHICLES.
83	* CALL IF YOU HAVE CAR TROUBLE OR WILL BE LATE ARRIVING.
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