Driver's License and Insurance Information

As we travel outside of our local area, we need to fill out Tour Permits which detail the kinds of accident insurance we have on our vehicles.  If you have the potential to be driving the Scouts or yourself to any destination we ask that you fill out the appropriate details:
 

Driver Information

Name Address City State Zip Code Driver's License Number
           
           
           
           

 

 


Vehicle and Insurance Information

Manufacturer, Model and  Year of Vehicle

Number of Passengers

Owners Name

Vehicle License Number

Will everyone wear a seat belt?

Public Liability Insurance Coverage
Public Liability

Property Damage
Per person ($) Per Accident ($) ($)