Maternity of the Blessed Virgin Mary Catholic Church

Camp MOSH Driver Information

As a Driver for Camp MOSH, please complete the following form:


Vehicle that will be used:


Insurance Information:

Please note: The minimal, acceptable liability limit for privately-owned vehicles is $100,0i00/$300,000)

Please be aware when using a personal vehicle, your insurance is primary. There is a policy that would offer additional liability protection should a claim exceed the limits of your policy.


Driving History:

Have you had any of the following citations or convictions in the past THREE years?

 
 

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