Cupertino High School Cross Country 2021
Home of the Pioneers
  Coach Paul Armstrong
Driving (students)
Note: By state law students must have their license for 1 year before they may drive others who are not family.
It is strongly suggested that students do not drive alone to and from Crystal Springs in Belmont, Toro Park in Salinas,
or venues more than 20 miles from CHS.
Name____________________________________  Birthdate: ____________Date____________

_________Practices away from campus       ___________Meets 

Vehicle Make:________________________________________________

Year and Model:______________________________________________

Vehicle License Number(s):______________________________________


Driver's License Number:_______________________________________

     Issue Date:_______________________________________________

    Expiration Date:____________________________________________

 
Insurance Carrier:_____________________________________________

      Policy Number:___________________________________________

      Expiration Date:___________________________________________
 

Signature:___________________________________________________
Driver of vehicle

I am the registered owner of the vehicle described above on this form
and I authorize the driver, whose name appears above to use this vehicle
to transport him/herself and other students.  I certify that the information
provided above is correct.

Signature:___________________________________________________
Owner of vehicle
 
Parent Signature (if different from owner):_____________________________

This page last updated:  9/2/21

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