FIELD TRIP PERMISSION FORM TRANSPORTATION BY PRIVATELY OWNED VEHICLES 1am willing and available to drive to or chaperone this field trip activity. Parent Signature My child/children, Name of Student(s) has/have my permission to attend the field trip to ‘School Sponsored Activity on Destination Day/Date lunderstand that my child will be transported by a privately owned car driven by an adult* and will be supervised at all times and that the Northville Public Schools cannot be held responsible for any accidents that may occur. | also understand the No Fault Insurance Law as it applies to students who are passengers in school district vehicles, Date Signature of Parent/Guardian’ ‘adults must be atleast 21 years of age and may Include parents, teachers, coaches, or ater esponile adults. ‘names of ad dvs val be avalabe in the office onthe day ofthe fed tip. tudes under the age of 13 willbe property buckled in the Dack sak No Fault Insurance Law Students Who Are Passengers In Privately Owned Vehicles Personal Injury Protection for students is covered by the student's family’s automobile insurance in all cases except when there are no insured autos in the student's family. In cases where the student's family has no insured autos, Personal Injury Protection insurance is provided by the insurance company of the automobile in which the student is riding All Parents/Chaperones who drive are required to have an Internet Criminal History Access Tool (ICHAT) completed via the Michigan State Police ICHAT Program. ‘Adopted: November 1991 Page 1 of 1 Revised: August 2008 Revised: June 2010 (Parent Involvement) Revised: March 2013 (ICHAT) ‘oe Te me FERMESON SUPE PRINT COMED ENELESRS SD