Drivers are required for scouting trips (tours). In order to make the application for the tour permit an easier and faster process, we request that you provide this information ahead of time. This information is requested now, even though you may not be driving in the very near future. It will be kept in a database and made supplied to all tour leaders.

Please answer the following questions, and return the completed form to A. J. Hitchings, 12 Murphy Place, San Mateo, CA 94402, or call Mr. Htichings with the answers (578-0446, 6:30 pm to 9 pm weekdays, 8 am to 9 pm weekends), or have your scout return this form to Mr. Hitchings at the next meeting.

For the vehicle most likely to be used to transport scouts (large seating capacity preferred)

A. Vehicle Year ________________________ (i.e. 1993)

B. Vehicle make________________________ ( i.e. Chevy Suburban)

C. Number of seatbelts usually installed__________________ ( i.e. 5)

D. Maximum number of seatbelts possible ________________ ( i.e. 7, in a van)

E. Tow-hitch or receiver yes/no (circle one)

Who will drive it:

F. Driver 1: Name ________________License: _____________

G. Driver 2: Name ________________License: _____________

Insurance information - you will need to look this up in your policy.

H. Public liability - each person________________________ ( i.e. $100,000)

I. Public liability - each accident________________________ ( i.e. $300,000)

J. Property damage__________________________________ ( i.e. $50,000)

If there is another vehicle that may be used, instead of the vehicle described above, please provide information for this alternate vehicle:

K. Vehicle Year ________________________ (i.e. 1993)

L. Vehicle make________________________ ( i.e. Chevy Suburban)

M. Number of seatbelts usually installed__________________ ( i.e. 5)

N. Maximum number of seatbelts possible ________________ ( i.e. 7, in a van)

O. Tow-hitch or receiver yes/no (circle one)