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Vehicle Request

  1. Vehicle Needed*

  2. CDL*

  3. Day Requested*

  4. Transportation waiver for use of DRC Bus or Van

    In consideration of your accepting this entry, I hereby, for myself, my organization participants on this trip, our heirs, executors and administrators, waiver and release any and all rights and claims for damages I or trip participants may have against the Derby Recreation Commission, City of Derby, or USD 260, and its representatives, successors and assigns for any and all injuries suffered by myself or trip participants on any trip taken by my group on the Derby Recreation Commission Bus or Van. It is hereby agreed and understood that all approved applications for the use of the DRC bus/van and/or equipment shall be subject to the conditions of all DRC policies. This includes the suggested donation for the bus or van.

  5. Leave This Blank:

  6. This field is not part of the form submission.