2023-2024 Driver Permission Agreement

This form must be signed by parents/legal guardians of student drivers.

I, the parent or legal guardian of the person named as a driver below (“Driver”), permit that person to drive to and from Mater Dei High School (“School”) and its events in the 2023-2024 school year (the “Activity”). I certify that the Driver is authorized to drive under California law and is not subject to any restrictions which would prevent the Driver from driving as intended in this agreement.

I, the Driver named below, certify that I am authorized to drive under California law and am not subject to any restrictions which would prevent me from driving as intended in this Agreement.

I hereby release, waive, discharge, hold harmless, indemnify, and defend Mater Dei High School and the Catholic Diocese of Orange, as well as their respective employees, staff, volunteers, agents, and representatives, from any and all liability, losses, damages, claims, actions, attorneys’ fees, and causes of action of every nature, whether claimed by Driver, myself, Driver’s family and assigns, or any third party, for any and all known or unknown, foreseen or unforeseen, bodily or personal injuries, property damage, or any other loss or damages relating to the Activity.  

By signing below, I represent that I have read, understand, and agree to the terms outlined above. I understand that by signing this document, I am waiving certain legal rights, and do so voluntarily.

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Email *
Student Last Name *
Student First Name *
Student Birthdate *
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Student Grade *
Sport (Select all that apply) *
Car Make, Model, Year, and Color *
# of Passengers *
Drivers License # *
State *
Insurance Provider *
Insurance Provider Phone # *
Insurance Policy # *
Expiration Date *
MM
/
DD
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YYYY
Parent/Guardian Name *
Parent/Guardian Phone # *

Additionally, I permit the Driver to drive other Mater Dei High School students to and from School and its events in the 2023-2024 school year.

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A copy of your responses will be emailed to the address you provided.
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