Ss. Peter and Paul Catholic Church

A Parish of the Diocese of Winona-Rochester
Staffed by the Priests and Religious of the Institute of the Incarnate Word
105 N. 5th St. | Mankato, Mn. 56001 | 507-388-2995

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Driver Registration

- Youth Ministry

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- Name Please enter valid data.
- Date of Birth Please enter valid data.
- Driver's License # Please enter valid data.
- Phone # Please enter valid data.
- Date of Expiration Please enter valid data.
- Name of Owner of Vehicle Please enter valid data.
- Address of Owner Please enter valid data.
- Model of Vehicle Please enter valid data.
- Make of Vehicle Please enter valid data.
- Year of Vehicle Please enter valid data.
- Date of Expiration Please enter valid data.
- License Plate # Please enter valid data.
- Registration Expiration Date Please enter valid data.
- Insurance Company Please enter valid data.
- Policy # Please enter valid data.
- Date of Policy Expiration Please enter valid data.
- Liability Limits of Poilicy Please enter valid data.
- Please note: the minimal, acceptable Liability limit for privately owned vehicle is $100,000/$300,000.
  
  CERTIFICATION:
  
  I certify that the information given on this form is true and correct ot the best of my knowledge. I understand that as a volunteer driver, I must be 21 years of age or older, possess a valid driver's license, have the proper and current license and vehicle registration, and have the required insurance coverage in effect on any vehicle used to transport participants of the event.
- Signature REQUIRED Please fill out this field. Please enter valid data.
- Date Please enter valid data.
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