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Central Union HSD |  E  3515.21  Business and Noninstructional Operations

Unmanned Aircraft Systems (Drones)   

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AUTHORIZATION FORM

Operators must receive authorization to operate an Unmanned Aircraft System (UAS) or drone on District Property or at District Sponsored Events.

Any person authorized to use a drone on district property shall sign an acknowledgment that he/she understands and will comply with the terms and conditions of the district's policy, federal law and regulations, state law, and any local ordinances related to the use of drones. *Operator must furnish a certificate of insurance for the date(s) requested prior to the event or operation of the UAS. Insurance coverage level to be no less than general liability in the amount of $1 million per occurrence and naming the Central Union High School District as additionally insured.

Name, Title, Address

Proposed Date(s) of Drone Use

Use Justification

Location of Use

Names of Operators

If authorized, the drone operator shall abide by the following conditions:

1. The operator is responsible for complying with applicable federal, state, and/or local laws and regulations, including federal safety regulations pursuant to 14 CFR 107.15-107.51 which include, but are not limited to, requirements that the drone not be flown at night, above 400 feet in altitude, or over any people unless they are in a covered structure or stationary vehicle. The operator shall maintain the visual line of sight with the drone at all times.

2. The drone shall be kept away from any area reasonably considered private, including, but not limited to, restrooms, locker rooms, and individual homes.

3. The district reserves the right to rescind the authorization for use of drones at any time.

The Superintendent or designee reserves the right to remove any person engaged in unauthorized drone use on District Property and/or may confiscate the drone. He/She may also shut down the operation of any authorized drone use whenever the operator fails to comply with the terms of the authorization or the use interferes with District activity, creates electronic interference, or poses unacceptable risks to individuals or property.

By signing below, the operator understands and affirms to follow Central Union High School District's BP 3515.21 UNMANNED AIRCRAFT SYSTEMS (DRONES), federal law and regulations, state law, and any local ordinances related to the use of drones.

Operator's Signature

Principal's Signature Approval

Superintendent or Designee's Signature

Approval Date_____________________

* Insurance certificate must be attached to the Authorization Form in order for the operator to be considered for approval.

Exhibit CENTRAL UNION HIGH SCHOOL DISTRICT

version: October 9, 2018 El Centro, California