BHS Alternate Transportation Form
Student's Name *
Your answer
Guardian's Name (person filling out this form) *
Your answer
Sport or Activity *
Your answer
Date of Activity *
MM
/
DD
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YYYY
Location of Activity *
Your answer
Reason for request:
Your answer
I understand that Bellbrook High School rules require that students leaving school by bus for school sponsored activities must also return by bus and that by requesting a departure from this requirement I will release the Bellbrook-Sugarcreek Board of Education from all liability for any accidents that may occur. I understand that I (parent or guardian) assumes all liability for this alternative transportation under our personal insurance policy. I therefore agree to release Bellbrook-Sugarcreek Schools and its employees and officers from all liability. I understand that typing my name is my electronic signature. *
Your answer
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