January 2008

TRANSPORTATION FORM(S) INSTRUCTIONS:

The travel between Robinson Secondary School and Sandy Run for crew practice after school is a field trip. There are four options for Rowers to get to practice.

·         Drive

·         Ride with other Rower

·         Ride with Parent

·         Ride bus

School regulation requires all Rowers to complete the Parental Authorization and Acknowledgement of Risk for Field Trip form.  The purpose of this form is for the sponsor (parent) to grant consent for the rower to travel to practice.  If at anytime Rower plans to travel to practice, in a privately owned vehicle, either as a driver or passenger, or with another rower or parent, then they must also complete the Field Trip Driver's License and Vehicle Insurance Information form.  If a Rower is going to drive and sometimes be a passenger, then two of these forms must be completed in the format provided below.  The purpose of this form is to notify the school that rowers are traveling to practice other than on the bus, provide proof that the privately owned or leased vehicle being use is insured, that the vehicle meets minimum safety standards, and that the parent of the Rower has authorized this travel.

Both of these forms must be turned-in not later than 30 January 2008.   If all required forms are not complete the Rower will not be able to participate in training at Sandy Run starting on 25 Feb 2008.  If you have not turned in the required forms, please put in bring them to the address at the bottom of this form.    It is not the responsibility of the Coaches to accept forms.  Giving the coaches forms will delay the process, so PLEASE DON”T!!!!

How to Fill-out the Parental Authorization and Acknowledgement of Risk for Field Trip Form:

 (Print legibly, except where signatures are required) 

Date of Trip:  23 Feb – 30 May 2008                                              Destination:  Sandy Run                   

Purpose: Robinson Crew Training

SUPERVISION: Check box that states students will be directly supervise by adults on trip.

TRANSPORTATION:  All must check School Bus, and private or leased vehicle if applicable.

DRIVER OF PRIVATE OR LEASED VEHICLE:  Check student, parent or other adult if applicable.

Note: If you check one of these blocks the form below must be completed.

SIGNATURE OF STUDENT/DATE:  Rower must read statement, sign and date.

PARENT AUTHORIZATION: Read statement, check “Participation in all aspects of this trip” box, enter rowers name, parent must sign and date.

How to Fill-out the Field Trip Driver’s License and Vehicle Insurance Information Form:         

  (Print legibly, except where signatures are required) 

DRIVER: (one form required per Rower)

SPECIFIC TRIP: Enter date, destination, purpose and explain (same as instructions above).

PART I:  Enter Name of driver (check applicable block), operator license number, state which license issued and expiration date.  Driver must certify vehicle meets all listed requirements by checking the boxes (all should be checked), driver date and sign form.

PART II:  Enter name of Owner(s) of Insured Vehicle, Insurer (insurance company's name), parent must date and sign under Owner’s or Lessee’s Signature.

PASSENGER: (one form required per Rower)

SPECIFIC TRIP:  Enter date, destination, purpose, and explain as described above. 

PART I: Enter the Name of driver and check applicable box. If more than one driver applies enter multiple names.  No other entries are required in this section.

PART II:  Enter on the Owner or Lessee of Insured Vehicle the following statement:  (Rower's Name) is authorized to be a passenger in this vehicle.  Rower's parent must date and sign consenting to this transportation arrangement.     

Mail or return forms to:       Ellie Oakley

                                                10689 John Ayres Drive

                                                Fairfax,  VA  22032-3101

Any question, please contact Ellie Oakley @ 703-239-9321