Travel Release Form

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Travel Release Form

Union City Jr-Sr High School
603 N Walnut St
Union City, IN 47390
Phone: 765-964-4840

Mr. Kyler Purdin
Athletic Director

Contest Travel Release

The Department of Athletics wants to emphasize the importance of student-athletes riding the team bus to and from athletic events. The riding of the team bus creates a bond – a team unity among teammates and coaches. It is an educational classroom where coaches can discuss team goals, strategies, give skill, game or practice instructions. A place where a coach can console, congratulate, or motivate an athlete. It is where the athlete and coach have an opportunity to communicate without any interruptions or outside interference. It is an environment that cannot be duplicated or recaptured at any other time than at that moment.

Under certain circumstances or exceptional situations, athletes may be excused from riding either to or from an athletic event on school authorized transportation. Form must be filled out by 3:00 PM on week night events and by 8:00 PM on Friday for Saturday event to give AD time to approve. Your athletes' coach should be asked before you fill out this form to see if they are OK with this request.

Parent/Guardian Name completing this form *

Sport *

Event Location *

Date of Event *

YYYY

Requesting permission for the above mentioned student to ride to and/or from the above mentioned event with an adult (non-student) of the parent/guardian's choice. *

to event

from event

both to and from event

Required

Name of adult providing transportation *

The reason for not riding the bus is *

(Reason must be sufficiently urgent to family needs to justify not riding the bus)

Coach's Name *

Has above coach been notified AND given permission for this release? This must be done before submitting request. *

Yes

I understand that the Union City Jr High/High School Athletic rules require students to ride the buses to and from all athletic events and departure from this requirement will release the Randolph Eastern School Corporation from all liability for any adverse results that may occur.

I agree to release the Randolph Eastern School Corporation and its employees and officers from all liability with reference to the above-stated transportation.

This form must be submitted and on file in the Athletic Office prior to the dismissal of school on the day of the contest.

By typing your name below you are giving an electronic signature that acknowledges that you have read and agree to the above information. *

(Name here MUST match name in the parent/guardian box above.)

Parent E-mail *

An e-mail confirming receipt of this request will be sent by the Athletic Department

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