The undersigned student and parent/guardian request the Pickens County Board of Education Board, Superintendent, Principals and other agents, servants or employees of The Board (hereinafter collectively referred to as School System) to grant permission so that Student may be allowed to drive a motor vehicle and or transport student passengers in a motor vehicle and or be a student passenger in a motor vehicle between the home school to and from the Pickens County College & Career Center.
IT WILL BE THE SOLE RESPONSIBILITY OF THE STUDENTS’ PARENTS/GUARDIAN TO MAKE THE ARRANGEMENTS.
The undersigned expressly authorize such travel and represent to School System that Student has in effect a valid driver’s license issued by the State of Alabama allowing Student to drive which is neither suspended nor revoked. Also, there is in full force and effect a policy of liability insurance covering such motor vehicle in such amount as required by the State of Alabama. Such insurance (or comparable policy) will be kept in effect so long as Student remains enrolled in the Pickens County School System. Attach a photocopy of Student’s driver’s license and insurance card or other proof of liability coverage.
In the event of suspension, cancellation or revocation of either the driver’s license or insurance policy, the undersigned shall immediately notify School System. In such event, any permission granted by School System to Student shall immediately terminate.
The undersigned voluntarily release and waive any and all claims against School System, both present and future, arising out of or in any way connected with Student’s use of a motor vehicle pursuant to this authorization including, but not limited to, claims for breach of contract, express or implied, or for acts or failure to act, or wrongful death. The undersigned do hereby release, waive and discharge School System and covenant that they will not institute any suit, claim, or action against School System for any loss, damage, or injury, to person or property, arising out of School System’s grant of permission to Student to drive a motor vehicle, whether such is caused by the Student, School System, or a third party. The undersigned also agree to indemnify and save harmless the School System against any and all claims for damages, loss or injury, costs or expenses, including reasonable attorney’s fees, that arise out of , or are made as a result of, Student’s use of a motor vehicle pursuant to this request.