Maternity of the Blessed Virgin Mary Catholic Church
As a Driver for our Youth Ministry Event, please complete the following form:
Vehicle that will be used:
Please note: 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.
Have you had any of the following citations or convictions in the past THREE years?
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