THE CATHOLIC UNIVERSITY OF AMERICA CLUB SPORTS AUTHORIZATION FOR TRAVEL
Shared by: onceandtwice
THE CATHOLIC UNIVERSITY OF AMERICA- CLUB SPORTS AUTHORIZATION FOR TRAVEL ROSTER This must be filled out and faxed or hand delivered to the Director of Club Sports (x6199) and to the Department of Public Safety (x5110) 48 hours, PRIOR to anyone leaving the campus for the trip. All traveling members must be on this form. Send any updates/corrections/additions prior to departure. CLUB: EVENT: PERSON FILLING OUT THIS FORM: Date of Departure: Estimated Time: Place of Departure: Mode of Transportation: Destination/s: (see reverse) Staying at (motel): Phone: Date of Return: Estimated Return Time: Contact person at destination Name & Title: ____________________________________ Phone number:_________________ TRAVEL ROSTER (be accurate) Last Name First Name Contact number (cell phone- minimum one per vehicle) 1. 2. 3. 4. 5. 6. 7. 8. 9. 10. (Must also fill out second page) Page 2. Authorization for Travel Roster Drivers’ Information Private Vehicles: You must have permission from the owner of the private vehicle to use it for Club Sports. Your own automobile insurance will cover property damage and/or personal injury arising from an automobile accident arising from use of the vehicle. The Catholic University of America assumes no responsibility for the use of private vehicles. The automobile owner assumes liability. All drivers must possess a valid driver's license, and complete the affirmation below. University Vehicles: You must have undergone the University’s large vehicle training program and receive certification to drive University vans and/or other large vehicles. You must provide proof of a current driver’s license and affirm that you have never been convicted of DUI or DWI and that you have fewer than 3 points on your driving record. All drivers must affirm: I have provided proof of a current driver’s license. I affirm that I have never been convicted of DUI or DWI and that I have fewer than 3 points on my driving record. Drivers: Private or Affirm? Cellphone Last Name First Name University Vehicle? (yes/no (min 1 per vehicle) 1. 2. 3. 4. 5. 6. 7. 8. 9. 10.