I authorize the District to transport my minor child in a company Bus or Van, driven by an individual authorized by the District. I understand my child is expected to follow all applicable laws regarding riding in a motor vehicle and is expected to follow the directions provided by the driver and/or staff or volunteer.

I have read, understand, and discussed with my child:

1. My child will travel in a motor vehicle driven by an adult and my child is to wear their safety belt during travel, if provided and applicable;
2. My child is expected to listen to supervising staff/driver, respect staff and other children, the vehicles they ride in, and the people they travel with during the trip;
3. Riding in a motor vehicle may result in personal injuries or death from wrecks, collisions or acts by riders, other drivers, or objects; and,
4. My child is to remain in their seat and not be disruptive to the driver of the vehicle.

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Please read and acknowledge each statement below:

I recognize participation in this activity, as with any activity involving motor vehicle transportation, my child may risk personal injury or permanent loss. I hereby attest and verify I have been advised of the potential risks, and I have full knowledge of the risks involved in this activity, and I assume any expenses incurred in the event of an accident, illness, or other incapacity, regardless of whether I have authorized such expenses. (required)

I have read and acknowledged the statement above

If a child misses the bus, it is the parents’ or guardians’ responsibility to provide transportation to or from the pool. Please instruct your children on procedures to follow if they miss the bus. (required)

I​f the bus is missed in the morning, go home immediately.

Review the departure me of the bus with your child - they are responsible for boarding the bus at the correct time; District employees are not responsible for ensuring your child boards the bus.

If the bus is missed in the afternoon, know who to call for a pick-up. The District will not arrange alternative pick-ups nor is responsible for children who miss the bus.

Alternate stops will not be allowed. Once the bus starts moving, it will not stop to pick up a late student.​

I have read and acknowledged the statement above (required)

Yes

As a condition for the transportation received, I, for myself, my child, my executors, and assigns, further agree to release and forever discharge the District and their agents, officers, employees, and volunteers from any claim that I might have myself, or that I could bring on my child’s behalf with regard to any damages, demands or actions whatsoever, in any manner arising out of this transportation. (required)

I have read and acknowledged the statement above

Boarding the bus is the responsibility of the child. The District will not arrange for alternative transportation or act as an intermediary for alternative transportation. (required)

I have read and acknowledged the statement above

I realize it is my responsibility to deliver my child to a designated bus stop, and I assume full responsibility for my child going to and from the bus stop safely. I am also aware that if my child misbehaves, my child may lose bus-riding privileges. (required)

I have read and acknowledged the statement above

Names of children riding the bus

Your Signature (required)

Confirm e-Signature

Review Electronic Records and Signatures Policy (required)

Read our Electronic Record and Signature Disclosure

I agree to use electronic records and signatures

Date (required)

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Review Electronic Records and Signatures Policy (required)

Read our Electronic Record and Signature Disclosure

I agree to use electronic records and signatures.