DHS Parent Transportation Consent and Release Form (old draft)

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Email *

I understand that the school has provided transportation, but I have decided not to use it. *

By checking this box, I agree to the above statement.

Required

Name of Athlete *

Sport/Activity *

Cross Country

Golf - Boys

Softball

Tennis - Boys

Event Name *

Event Date *

YYYY

Name of Parent *

Parent Phone Number *

I am requesting that my child is transported by *

His/Her Parent/Guardian

Another adult over 21 years of age.

Required

The name of the person transporting my child. *

I hereby forever release and discharge Durango 9R School District, and all teachers, coaches, administrators, participants, and other persons involved with the interscholastic sports or activities, as well as the above-named party who will be transporting my child (hereinafter collectively referred to as "Released Parties") from any and all liabilities, claims, demands, or causes of action that I or my student(s) my herein have for injuries or damages arising out of using alternate transportation or arising from any emergency transportation or medical treatment in connection therewith, including but not limited to losses caused by negligence of the Released Parties. I understand that the Durango 9R School District has no contract with me as parent/legal guardian to transport my student(s). In accordance with CRS 13-22-107, the foregoing release shall be binding on the student, as well as the student's parent/legal guardian signing below. If the parent/legal guardian is not present for the transportation arrangements, the school will transport. *

By checking this box, I agree to the above statement.

Required

Parent Signature *

Today's Date *

YYYY

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