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Unified Track and Field : Merrimack High School Transportation Form 
REQUEST FOR ALTERNATE ATHLETIC TRANSPORTATION 
To be filled out by PARENT/GUARDIAN ONLY
If parents/guardians provide transportation to, or allow another adult or their son/daughter to provide transportation to scheduled interscholastic athletic events, including practices, they must be aware that the following policies are in effect:
  • Where a parent/guardian provides transportation to their son/daughter to or from a scheduled event, including practices, the parent/guardian shall assume all resulting liability, and the school shall assume no liability.
  • Where a parent/guardian, or another adult designated by a parent/guardian transports students other than their own to or from a scheduled event, including practices, the parent/guardian or designated adult transporting the students shall assume all resulting liability, and the school shall assume no liability.
  • Where a student transports himself/herself to or from a scheduled event, including practices, the parents/guardians of that student shall assume all resulting liability, and the school shall assume no liability. 
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Email *
Parent/Guardian Name: *
Transportation Liability Waiver
I have read the Athletic Transportation Policy and agree that I shall assume all liability for negligently caused injuries resulting from the following situations:

•  Where I transport my son/daughter to or from a scheduled event;
 
•  Where I transport other students to or from a scheduled event, or I, as a parent/guardian, give permission to another adult to transport my son/daughter home from a scheduled event and have explained to he designated individual that s/he will assume all liability;
 
•  Where my son/daughter transports himself/herself to or from a scheduled event.

I also agree that Merrimack High School shall assume no liability whatsoever for negligently caused injuries resulting from the above situations or any other situation where contracted transportation is not being used to transport athletes. 

Student Athlete's Name: *
Event Date:  *
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My child, named above, will not be riding the team bus to/from the event dated above because my child will be:  *
Required
If needed, name of other adult that will be transporting my student to or from the event.
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