Permission for Independent Student Travel
This form is to grant permission for your child to travel INDEPENDENTLY to and from the school for the current school year. PLEASE COMPLETE ONE FORM PER STUDENT. NOTE: This form does not roll over to the next school year, a new Permission Form must be completed for each school year, per student.
Student Name (first and last)
School Year (EG: 2019-20)
PARENT/LEGAL GUARDIAN AGREEMENT: By submitting this form as Parent/Legal Guardian of the above named student, I hereby grant permission for him/her to travel INDEPENDENTLY to and from the school, without supervision, for the current school year. I understand that it is my responsibility to provide appropriate protective gear, if my child will bicycle, blade or board to and from school. I further understand that it is my responsibility to ensure that my child learns and follows proper pedestrian and bicycle safety behaviors.I understand that all reasonable precautions will be taken by MSMS (May Sands Montessori School) staff, employees and volunteers to avoid injury to my child. In consideration thereof, I waive any claims for damage and/or injuries that may arise from or may be incident to the activities described above to the extent allowed by the law.I further understand that MSMS staff, employees or volunteers may not be held responsible for the intentional or negligent acts from other persons who are not its staff, employees or volunteers. PLEASE PRINT YOUR FULL NAME BELOW.
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