A | B | |
---|---|---|
1 | TROOP 171 DRIVER INFORMATION SHEET | |
2 | ||
3 | DRIVER NAME: | ____________________________________ |
4 | ||
5 | VEHICLE YEAR, MAKE, MODEL and COLOR: | ____________________________________ |
6 | ||
7 | VEHICLE LICENSE PLATE: | ____________________________________ |
8 | ||
9 | TRIP DESTINATION: | |
10 | ||
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: |
15 | ||
16 | ____________________________________ | ____________________________________ |
17 | ||
18 | ____________________________________ | ____________________________________ |
19 | ||
20 | ____________________________________ | ____________________________________ |
21 | ||
22 | ____________________________________ | ____________________________________ |
23 | ||
24 | ____________________________________ | ____________________________________ |
25 | ||
26 | ____________________________________ | ____________________________________ |
27 | ||
28 | ____________________________________ | ____________________________________ |
29 | ||
30 | ____________________________________ | ____________________________________ |
31 | ||
32 | ____________________________________ | ____________________________________ |
33 | Please complete this form with first and last name of Scout passengers in your vehicle. | |
34 | Return the list to trip organizer. | • Greg Brown 720-498-3559 • Laura Guedelhoefer 303-408-4587 |
35 | ||
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. | |
42 |