Release of Liability for Student Transportation To and From Co-Curricular Activities
Parents/Guardians/Adult Students (Age 18 and Older):

If your child (or you, if you are a student age 18 or older) plans to participate in co-curricular activities, please complete and sign the following form, and return it to the student’s coach or advisor. My student has my permission to participate in co-curricular activities during the 2020-21 school year and I understand that it is my sole responsibility to arrange for my student’s transportation to and from co-curricular events. I understand that Independent School District 194 (Lakeville Area Schools) and my student’s High School may arrange for transportation from time-to-time, but on all other occasions, transportation remains my sole responsibility. I agree for myself and on behalf of my child to waive all liability and to release and hold harmless District 194, its School Board members, agents, employees, and volunteers in the event of injury, death, loss or damage to person or property that occurs as a result of my child’s transportation to or from a co-curricular activity by transportation other than that provided by District 194. In addition, I agree for myself and on behalf of my student, not to assert against the District, its board members, agents, employees or volunteers, in any court of law, any claim or claims whether known or unknown, that arise as a result of such transportation. I understand that this release and waiver of liability applies to claims caused by District 194’s own negligence, but not by the willful or wanton misconduct of District 194, its board members, agents, employees or volunteers.

I have read and voluntarily sign the release and waiver of liability, and further agree that no oral representations, statements or inducements, apart from the foregoing written agreement, have been made.
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Student First Name *
Student Last Name *
Student Grade *
Student Sport *
School Building *
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Signature of Parent, Guardian, or Adult Student *
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