Check-Out Liability Form
This form MUST be completed before entry. A form must be completed for EACH STUDENT attending.
Student's Full Name
*
First Name
Last Name
Please tell us how the above named student is being picked up.
*
I am a parent/guardian picking up the above named student.
The above named student is not my child, but is in my carpool.
I am a student who rode in a carpool.
Type the name of the driver who is taking the student named above home.
*
Please sign below to confirm that you have answered the above prompts truthfully and to the best of your ability.
*
Clear
SUBMIT
Should be Empty: