2025/26 STEP 4: Student Travel to and from HR

PERMISSION FOR STUDENT TO TRAVEL TO AND FROM
HOLY REDEEMER SCHOOL UNATTENDED VIA BICYCLE AND/OR WALKING
FOR 2025-2026 SCHOOL YEAR

Family Name

Student 1

Student 1 Grade

Student 2

Student 2 Grade

Student 3

Student 3 Grade

Student 4

Student 4 Grade

Student 5

Student 5 Grade

Student 6

Student 6 Grade

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 supervision. 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

PERMISSION FOR STUDENT TO TRAVEL TO AND FROMHOLY REDEEMER SCHOOL UNATTENDED VIA BICYCLE AND/OR WALKINGFOR 2025-2026 SCHOOL YEAR

PERMISSION FOR STUDENT TO TRAVEL TO AND FROM
HOLY REDEEMER SCHOOL UNATTENDED VIA BICYCLE AND/OR WALKING
FOR 2025-2026 SCHOOL YEAR