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Field Trip Chaperone Acknowledgement

To ensure the safety of Jewish Academy of Orlando’s students, all parents driving students on school sanctioned events such as field trips must have completed a background check through the school’s VECHs program (Volunteer & Employee Criminal History System at the Florida Department of Law Enforcement).

Please contact our office for further information on where to obtain a background screening. In addition, please note minimum insurance requirements stated below.

Please complete the information below to include uploading a copy of your diver’s license and auto insurance card. Required fields marked with an asterisk *

Contact Information

First Name*

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Last Name*

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Insurance & Driver's License Information

Minimum allowable liability insurace amounts:

bodily injury per person Minimum: $50,000
bodily injury per accident Minimum: $100,000
property damage per accident Minimum: $50,000

Automobile liability insurance company:*

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Policy Number:*

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Expiration date of policy:*

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Amount of bodily injury liability insurance held (per person) :*

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Amount of bodily injury liability insurance held (per accident) :*

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Amount of property damage liability insurance held (per accident) :*

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Please upload a copy/picture of your insurance card. *

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Driver's License Number:*

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Please upload a copy/picture of your driver's license. *

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Transportation Policy Acknowledgment

I am obligated to communicate this information to Jewish Academy of Orlando.
I understand that before I may drive JAO students I must submit my driver’s license
and current insurance card.
I will ensure all children under 12 years of age will not travel in the front passenger seat.
I will ensure everyone in the vehicle is wearing seatbelts.
I understand that I cannot make unscheduled stops to stores, restaurants, banks, gas stations,
etc. unless prior approval is given.
I understand that using a cell phone while driving is prohibited. In the case of an emergency, I
will pull the vehicle over to the side of the road and call 911 or other services.
I understand that all cigarettes, e-cigarettes, vaping or any other forms of smoking are strictly
prohibited.
I understand that any and all medications, prescribed or otherwise to include alcohol or controlled substances which can impair my driving while transporting children is strictly prohibited and
authorities will be called if I am suspected of the use while transporting children.
I will not bring any other children on a field trip unless I have received prior written approval from the executive director.

I have read and acknowledge all stated policies stated and contained within this document. I further agree to adhere to all transportation policies as stated and contained within the transportation policy and procedures document.

By checking ACCEPT, you agree to follow the terms of the transportation policy*

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Confirmation Email

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