Troop 20 Driver Insurance Information Form

Name:
Mobile or Home Phone #:
Driver’s License:
Make of Vehicle:
Model:
Year:
Vehicle Capacity (including driver):
Liability Insurance:
Each Person $
Each Accident $
Property Damage $

All potential drivers for Troop 20 campouts and other events involving transportation of scouts must complete and return this form. Return form to your patrol’s Assistant Scout Master or to Steve Huels, Troop 20 Camping Committee