Check-Out Liability Form
This form MUST be completed before entry. A form must be completed for EACH STUDENT attending.
Student's Full 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.
Should be Empty: