SEND ELECTRONICALLY -- Athletic Contest Travel Release Form

 
POINT PLEASANT SCHOOL DISTRICT

ATHLETIC CONTEST TRAVEL RELEASE

 
 
Name of Child:  *
Sport:  *
Grade:  *
My child has permission to ride:
       
   TO
       
   FROM
       
   BOTH
Please provide the date and the location of the athletic contest: 
Date:   *
Location of Contest:  *
I certify that I am personally transporting the above-named student, or have arranged for transportation with an adult (non-student) of my choosing for this student. 
The reason for not riding the bus must be sufficiently urgent to family needs to justify not riding the bus. 
The reason for not riding the bus:  *
I understand that the Point Pleasant School District Athletic rules require students to ride the busses to and from all athletic events and departure from this requirement will release the Point Pleasant School District from all liability for any adverse results that may occur.

I agree to release the Point Pleasant School District and its employees and officers from all liability with reference to the above-stated transportation.

  
Electronic Signature of Parent or Guardian  *
Parents Email Address:  *
Parent Contact Phone Number:  *
* Indicates Required fields.
 
Send a copy of the completed form to this email address :

 
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