1) *Scoutmaster_______________     Safe Swim Defense and
       AR D.L. #__________________     Safety Afloat Certificate
       Insurance Policy Holder & No.         (All training__/__/__by______)
       _________________________
       Year, Make, Model of Vehicle
       Coverage of at least:
       $______/______/______
       Everyone will wear a seatbelt.      

2) Driver 2____________________      Safe Swim Defense and
       AR D.L. #__________________     Safety Afloat Certificate
       Insurance Policy Holder & No.         (All training__/__/__by______)
       _________________________
       Year, Make, Model of Vehicle
       Coverage of at least:
       $______/______/______
       Everyone will wear a seatbelt.

3) Driver 3____________________      Safe Swim Defense and
       AR D.L. #__________________     Safety Afloat Certificate
       Insurance Policy Holder & No.         BSA Lifeguard (__/__/__)
       _________________________
       Year, Make, Model of Vehicle
       Coverage of at least:
       $______/______/______
       Everyone will wear a seatbelt.

4) Driver 4____________________      *Complete list for all potential
       AR D.L. #__________________       drivers.
       Insurance Policy Holder & No.        
       _________________________
       Year, Make, Model of Vehicle
       Coverage of at least:
       $______/______/______
       Everyone will wear a seatbelt.

5) Driver 5____________________     
       AR D.L. #__________________    
       Insurance Policy Holder & No.        
       _________________________
       Year, Make, Model of Vehicle
       Coverage of at least:
       $______/______/______
       Everyone will wear a seatbelt.                            

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