TRANSPORTATION DEPARTMENT

PARENT OR GUARDIAN CONSENT FORM

 

 
I hereby give my permission for my child  
   
To travel by Auburn City School Bus
 
to   from  
       
with drivers from Auburn City Schools. In the event no one can meet the bus at the designate stop you have permission to drop him/her off.
 
Permission to travel is given from   through  
 
     

Parent/Guardian Signature

  

Parent/Guardian day phone

(REQUIRED)

  

(REQUIRED)

 

 

 

In granting permission, I hereby expressly waive my claim for liability against Auburn City Schools, the Board of Education, including its employees and representatives and release them from liability in connection with this trip. Further, I assume full responsibility for any damage to persons and/or property caused by my student. I further expressly agree that in the event disciplinary action may be necessary, my child may be returned home at my expense.

Further, in case of emergency or injury to my student, I hereby authorize the school to act in the best interest of my student. I further consent and will be responsible for any medical and/or dental treatment that may be advisable at the discretion of any physician or dentist. I understand that I will be personally notified if it becomes for my student to be returned home and/or require health treatment.

It is further warranted that if this Trip Permission Form is signed by one of two parent/guardian, it is with the authority of the other.