2022-2023 Passenger Permission Agreement

This form must be signed by passengers and parents/legal guardians of student passengers.

I, the parent or legal guardian of the Mater Dei High School student named as a passenger below (“Passenger”), on behalf of myself, my spouse, the Passenger, and my/our heirs, personal representatives, and assigns, and in consideration for the Passenger being allowed to obtain transportation to Mater Dei High School (the “School”) and its events, permit Passenger to be transported to and from School and its events (the “Activity”) in the 2022-2023 school year in a vehicle driven by School staff, coaches, students, or parents of students. If I am the Passenger and 18 years of age or older, I make these representations for myself.

I hereby release, waive, discharge, hold harmless, indemnify, and defend Mater Dei High School and the Catholic Diocese of Orange, as well as their respective employees, staff, volunteers, agents, and representatives, from any and all liability, losses, damages, claims, actions, attorneys’ fees, and causes of action of every nature, whether claimed by Passenger, myself, Passenger’s family and assigns, or any third party, for any and all known or unknown, foreseen or unforeseen, bodily or personal injuries, property damage, or any other loss or damages relating to the Activity.

By signing below, I represent that I have read, understand, and agree to the terms outlined above. I understand that by signing this document, I am waiving certain legal rights, and do so voluntarily.

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Email *
Student Last Name: *
Student First Name: *
Student Sport *
Student ID#
Student Grade *
Parents Name: *
Parents Phone # *
A copy of your responses will be emailed to the address you provided.
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