Maternity of the Blessed Virgin Mary Catholic Church

Harvest Sunday - Driver

Harvest Sunday

To be a driver for this event

you must be at least 21 years of age

and have taken the Protecting God's Children class.

For more information on the Protecting God's Children Classes

Contact Teresa Culver at (815) 933-8285 ext. 110

or email [email protected]

 

Adult Volunteer Authorization & Registration for Harvest Sunday - Driver




Medical Insurance Information in case of emergency


Driver Information

Vehicle that will be used

Please note that the minimal, acceptable liability limit for privately-owned vehicles is $100,000/$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:


Authorizations


Protecting God's Children Class Certification

If you have not had a background check performed within the past 5 years here at Maternity, you may be asked to complete a new one. We will notify you if that needs to be done.

Important! Don't forget to click on "Submit" below


 
 

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