Non-School Vehicle Transportation for School Activities/Field Trips

Code No. 503.6R2
NON-SCHOOL VEHICLE TRANSPORTATION
FOR SCHOOL SPONSORED ACTIVITIES/FIELD TRIPS
In the event that school vehicles are not available and parents and or volunteers transport
students to out-of-district activities, the Anamosa Community School District’s insurance carrier
does not provide primary coverage for the owner, driver, or passengers even though the activity
is sponsored by the school district.
A School Activity/Field Trip Permission Form and License and Liability Insurance Agreement
Form, example below, should be completed by parents and/or drivers.
School Activity/Field Trip Permission Form
Date: ______________________ Student: __________________________________________
Dear Parent/Guardian:
On _____________________ your child’s class will be taking a school activity/field trip to
__________________________________. Students will be transported to the event in private
cars/vans driven by the parents or volunteers of students in your child’s school. It is important to
understand that the Anamosa Community School District’s insurance carrier does not provide
primary coverage for the owner, driver, or passengers during an activity/field trip in non-school
vehicles even though the activity is sponsored by the school district.
Anamosa Community School District’s insurance carrier does not provide primary
coverage for the owner, driver, or passengers during an activity/field trip in non-school
vehicles even though the activity is sponsored by the school district.
_____I give my permission for my child to go on the activity/field trip.
_____I do not give my permission for my child to go on the activity/field trip.
___________________________________ __________________________________
Parent/Guardian Signature Date
I agree to provide transportation in my vehicle for a school activity/field trip:
_____ Yes _____No
License and Liability Insurance Agreement
When school parents/volunteers are driving their personal vehicle for an authorized school
activity/field trip, the driver is legally responsible for his/her own liability (bodily injury to
others and damage to other’s property) to the limit of the volunteer’s liability insurance
coverage.
The district is legally responsible for that part of liability claims (body injury to others and
damage to other’s property) in excess of the parent’s/volunteer’s liability insurance coverage but
only if the parent/volunteer is operating the vehicle under the direction of and within the scope of
their duties that have been authorized by school staff.
Parent/volunteer drivers using their own personal vehicle are required to have a current valid
Iowa driver’s license and automobile liability insurance on the volunteer’s personal vehicle used
for the school activity.
I UNDERSTAND THE CONDITONS OF MY RESPONSIBILITY FOR
LEGAL LIABILITY WHILE DRIVING MY PERSONAL VEHICLE FOR
AN AUTHORIZED SCHOOL ACTIVITY/FIELD TRIP.
I HAVE A CURRENT AND VALID IOWA DRIVER’S LICENSE.
I HAVE LIABILITY INSURANCE COVERAGE ON THE VEHICLE I
WILL BE DRIVING FOR THE SCHOOL/ACTIVITY FIELD TRIP.
NAME OF INSURANCE COMPANY: ____________________________________________
EXPIRATION DATE OF POLICY: ______________________________________________
I AGREE TO ABIDE BY ALL STATE AND/OR LOCAL TRAFFIC LAWS AND/OR
ORDINANCES.
______________________________________________
Signature of Parent/Volunteer Driver
THE ABOVE SIGNED PARENT/VOLUNTEER HAS BEEN AUTHORIZED TO DRIVE
HIS/HER PERSONAL VEHICLE FOR A SCHOOL ACTIVITY/FIELD TRIP AND IS
ACTING UNDER MY DIRECTION.
______________________________________________ _________________
Signature of Supervising Staff Person Date
Protect Yourself and Your Passengers With Seat Belts – It’s the Law!
Approved 4/21/03
Reviewed 7/7/08
Reviewed 7/20/15