Student Transportation Permission Form

 
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  This form is to be used when a parent requests transportation from an event with someone other than the parent/guardian.
   
 
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Enter student name
 
   
 
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Enter full name of person providing transportation
 
   
 
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Enter date of trip/event
  Select Date
mm/dd/yyyy
   
 
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  I, the parent/legal guardian, understand and agree that the school district had no responsibility for the damage or loss of the property brought by the student on the trip/event or obtained during the trip/event. I (and student if age 18 or older) also assume the risks of transportation from the trip/event and do hereby WAIVE and RELEASE the Newark Central School District, its Board members, officers, employees, agents and volunteers (including chaperones) from any and all liability for injuries or damages arising from participating in the trip/event including travel from the trip/event.

   
 
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  Select Date
mm/dd/yyyy
   
 
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  Select Date
mm/dd/yyyy
   
 
The school district will get this signature
 
   
 
The school district will get this signature
 
   
  To be completed by the driver:
I have read the entire permission form. I understand and agree to transport this student from the trip/event described above to the Newark High School/home at the end of the trip/event.
I agree and understand that I am not acting as an agent or volunteer of the district, and that I am solely responsible for the student rider in the case of an accident. I have a car insurance policy covering the vehicle that I will be using that provides at least the required statutory amount of liability coverage.
I agree to the following conditions:
Outside of my own family members, I will drive only those students who have this permission form fully executed from the trip/event back to the Newark High School/home. I will obey all laws including, but not limited to, all vehicle and traffic laws while I am providing transportation from the trip event.
   
 
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  Select Date
mm/dd/yyyy
   
 
 
 
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