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2023/24 Student Travel to and from HR
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2023/24 Student Travel to and from HR
2023/24 Student Travel to and from HR
admin
2023-08-12T05:55:37-05:00
23-24 Student Travel
PERMISSION FOR STUDENT TO TRAVEL TO AND FROM
HOLY REDEEMER SCHOOL UNATTENDED VIA BICYCLE AND/OR WALKING
FOR 2023-2024 SCHOOL YEAR
Family Name
*
Student 1
*
Student 1 Grade
*
PreK
K
1st
2nd
3rd
4th
5th
6th
7th
8th
Student 2
Student 2 Grade
PreK
K
1st
2nd
3rd
4th
5th
6th
7th
8th
Student 3
Student 3 Grade
PreK
K
1st
2nd
3rd
4th
5th
6th
7th
8th
Student 4
Student 4 Grade
PreK
K
1st
2nd
3rd
4th
5th
6th
7th
8th
Student 5
Student 5 Grade
PreK
K
1st
2nd
3rd
4th
5th
6th
7th
8th
Student 6
Student 6 Grade
PreK
K
1st
2nd
3rd
4th
5th
6th
7th
8th
Consent & Release of Liability
*
I as the legal parent/guardian for the above listed child(ren), hereby give consent for Holy Redeemer School to release my above listed child(ren) at school dismissal to ride a bicycle or walk home from Holy Redeemer School without adult care or superv1s10n. I acknowledge and agree that Holy Redeemer School shall not be liable for anything that happens to my above listed child(ren) once the child(ren) leaves Holy Redeemer School property upon school dismissal. I agree to indemnify and hold harmless Holy Redeemer School, its employees and agents from and against any and all claims, costs, expenses, actions and/or liabilities which may arise from my above listed child(ren) riding a bicycle or walking home from Holy Redeemer School. I understand and agree that Holy Redeemer School shall not be liable for any theft or damage to the bicycle while on Holy Redeemer School property and I will provide my child(ren) with their own bicycle lock if I so choose.
Parent Signature
*
Clear
Parent Name
*
Date
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