Date of Request:                                         Date Vehicle Needed:                         

Number of Riders:                                         Time Needed: From _________ to _________                            

I understand that the use of the buses of the school district shall be in accordance with the following rules and regulations:

Use of the buses fees shall be assessed based upon the actual state transportation report cost per mile.

1. Requests must be made a minimum of one week in advance.  If the request interferes or conflicts with school district use of the vehicle, the request will be denied. The final decision of whether a request will be granted is within the discretion of the administration.

2. Requests must be made by recognized youth organizations and/or groups or organizations sponsoring projects in the interest of the local community, state or national benefit or welfare.

3. The rental period will be negotiated directly with the administration.

4. Adult chaperones may be required to accompany the bus driver and riders.

5. All requests will be charged bus and driver fees.

6. Alcoholic beverages and tobacco products are prohibited on school district vehicles in accordance with Board Policies 902.8 and 406.4.

7. Whenever damage caused by vandalism or carelessness results, the group shall reimburse the school district for cost of repairs and may be denied further use of school district vehicles

8. The person signing this agreement shall be financially responsible for all costs accrued.

(_____ Total Miles Traveled X _____ Cost per Mile) + (_____ Total Hours Traveled X _____ Hourly Cost of Driver) = _____ Total Bus Charge

 _________________________              ___________________________

Superintendent or Designee                                Group Representative

*Adopted:  12/13/10