PERMISSION TO RIDE WITH PARENT AFTER EVENT
We wish to transport our son/daughter to or from certain athletic practices/events this season. We realize that our son/daughter must ride with US and not a friend and we will not provide transportation for other athletes. We the parent/guardian will release the Kearney R-1 School District from all responsibilities once we communicate with the coach or sponsor. We understand that any student violating this agreement will be disciplined by the school.
STUDENT NAME
*
First Name
Last Name
PARENT (GUARDIAN)
*
First Name
Last Name
STUDENT EMAIL
*
example@example.com
PARENT EMAIL
*
example@example.com
PARENT EMERGENCY PHONE
*
Please enter a valid phone number.
Date Signed
*
-
Month
-
Day
Year
Date
CURRENT SCHOOL YEAR
*
2023-2024 SCHOOL YEAR
2024-2025 SCHOOL YEAR
2025-2026 SCHOOL YEAR
ACTIVITY ATTENDING
*
Please Select
BAND
BASEBALL
BASKETBALL (GIRLS)
BASKETBALL (BOYS)
CHOIR
CROSS COUNTRY
CHEER
DANCE
FOOTBALL
GOLF (BOYS)
GOLF (GIRLS)
SOCCER (BOYS)
SOCCER (GIRLS)
SOFTBALL
SWIMMING (BOYS)
SWIMMING (GIRLS)
TENNIS (BOYS)
TENNIS (GIRLS)
TRACK
VOLLEYBALL
WRESTLING (BOYS)
WRESTLING (GIRLS)
OTHER
Parent or Guardian Signature
*
Submit
Should be Empty: