Personal Vehicle Usage Agreement
Scottsdale Community College is a public educational institution. References to Scottsdale Community College (“College”) include Scottsdale Community College, the Maricopa County Community College District (“MCCCD”), its officers, officials, employees, volunteers, students, agents, and assigns.
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I (your name) ________________ *
freely choose to use my personal vehicle from Home to (school/event name) ________   *
on the below date. *
MM
/
DD
/
YYYY
while participating in ____________ *
a College sponsored activity (“Activity”), under the following terms and conditions:  *I posses a valid Driver’s License.  *I have a personal automobile insurance for bodily injury and property damage coverage with minimum statutory limits.    *I acknowledge that College or MCCCD does not assume any responsibility for any property damage or bodily injury incurred to me, any passenger in the vehicle or a third party as the result of using my own vehicle for the activity listed above.                                                                                                           *
Required
*Signature: I indicate that by my electronic signature below that I have read the terms and conditions of using my personal vehicle while participating in with College, and agree to abide by them. I have carefully read this Agreement, and acknowledge that I understand it. No representation, statements, or inducements, oral or written, apart from the foregoing written statements, have been made. *
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