Connect Golden Hills School Division

Transportation Release Form

Athlete Name: __________________

 

Team: ________________________

 

Athletic Event: __________________

 

 

My son/daughter ________________________________ will not be riding the transportation provided by the Acme School and Athletic program on _____________________________(day/month/year).   As of this time,  _____________ (time) I release my son/daughter from the care, liability and responsibility of the bus driver and/or coach of Acme School and the Acme Athletic program.

 

 

________________________         

Parent Name                                    

 

________________________

Parent Signature

 

________________________      

Date