Girl Scouts of Washington Rock Council, Inc.

201 Grove Street East, Westfield, NJ  07090

908-232-3236

 

Charter Services Transportation Agreement

 

Name of Company________________________________________________________________________

 

Address_________________________________________________________________________

 

Company Contact Person _____________________________________Phone_________________

 

This is to confirm the arrangement made for troop/group #_________________________________

 

By______________________________________________________________________________

                Adult in charge                                                         position                                   phone

 

Departing from___________________________________________________________________

                                Location                                                  date                                          time

 

To arrive at ______________________________________________________________________

                                Location                                                  date                                          time

 

Returning from___________________________________________________________________

                                Location                                                  date                                          time

 

To arrive at ______________________________________________________________________

                                Location                                                  date                                          time

 

# Passengers ___________________          ____________________  # vehicles ______________

                                Girls                                         adults

 

Type of Vehicle                    _____school bus                                 _____car

                                                _____Coach bus                                 _____passenger van

 

                                                _____ Other ____________________________

 

Girl Scout Emergency Contact Person

 

Name__________________________________________________Phone____________________

 

The Girl Scouts of Washington Rock Council requires that a copy of the Certificate of Insurance from your company be on file in our office prior to the date of service.  Please sign all three copies and return to the Council Service Center at the above address.  One copy of the agreement will be signed and returned to you.

 

 

Girl Scout Adult________________________________________________________________________

                                                                                                                                                                                Date

 

Charter Company Representative___________________________________________________________

                                                                                                                                                                                Date

 

GSWR Council Executive Director_________________________________________________________

                                                                                                                                                                                Date