Transportation Permission Form

Transportation Permission Form

Family Christian Academy
You will be able to add more students after this form is submitted. Click/tap "Add Another Student" on the Thank you page.
At times it becomes necessary to use FCA school bus or private vehicles to transport students to and from Family Christian Academy activities. When this occurs, Family Christian Academy requires that the parent/guardian sign the FCA Transportation Permission Form.

My student may be transported for, but not limited to, the following activities: transportation to the community center, park, nursing home, library, etc.

My student may be transported via FCA school bus or private transportation vehicle via a staff member or parent-led carpool.

By signing this form, I hereby release/allow Family Christian Academy, as well as its directors, officers, administrators, employees, or other agents from all liability or damages for any, and all injuries arising from the negligence of any of the above while traveling to this activity.
Student Name

First NameLast Name
Parent/Guardian Name

First NameLast Name
Parent Email
example@example.com
Parent Signature
Date

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Hour MinutesAM/PM Option
Phone Number

Area CodePhone Number
Should be Empty: