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BRMS Travel Release form
Please complete this form if you wish to grant permission for your child(ren) to
not
take our BRSD bus home from an off-site extracurricular event such as an Away Game. This form will need to be completed for EACH day/event. All forms must be completed PRIOR to the event taking place so that all parties involved can approve the travel release.
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* Indicates required question
Email
*
Your email
Student Last Name
*
Your answer
Student First Name
*
Your answer
Grade Level
*
Grade 6
Grade 7
Grade 8
Athletic Team or Club
*
Choose
Boys Soccer
Girls Soccer
Field Hockey
Boys Basketball
Girls Basketball
Wrestling
Cheerleading
Baseball
Softball
Other
Date of Event/Contest
*
MM
/
DD
/
YYYY
Location of Event/Contest (School Name is acceptable)
*
Your answer
By checking the box I certify that I am personally responsible for transporting the above named student, or have arranged transportation with an adult (non-student) of my choosing for this student.
*
I have read and agree with the above statement.
Required
I understand that the Bordentown Regional School District rules require that students ride the buses to and from all off-site events and a departure from this requirement will release BRSD from all liability for any adverse results that may occur. I agree to release the Bordentown Regional School District and its employees and officers from all liability with reference to the above stated transportation.
*
I have read and agree with the above statement.
Required
I also understand that the BRSD staff member can require the student to ride the bus back to school even if this form is completed should the situation present itself that warrants that decision (ex- ride not present, running late, etc.).
*
I have read and agree with the above statement.
Required
Parental Electronic Signature (please enter your First & Last name)
*
Your answer
Parent Contact Phone Number
*
Your answer
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