Angel Guard Permission

Parents/Guardians:

Your child’s safety is of the utmost concern to all of us. It has been brought to our attention that your child consistently unfastens the seatbelt while being transported to and from school.

There are two options to help solve this challenge. The first option is that you can agree to transport your child to and from school for this school year. The second option is to use a seatbelt protector called an Angel Guard or like product. The Angel Guard is placed over the seatbelt to deter a child from unfastening the seatbelt. With the use of this fastener, it takes a few seconds longer to undo the seatbelt. As well, an adult is required to unfasten the seatbelt. In the event of an accident, your child would need to wait for an adult to unfasten his/her seatbelt.

Please indicate your option:*

I will transport my child to and from schoolI give my consent to the Regina Catholic School Division staff to use an Angel Guard or like product to transport my child to and from school for the school year as indicated below.

Student Last Name*

Student First Name*

Please indicate the school year:*

School Attending*

Parent/Guardian Name*

Parent/Guardian email address:*

example@example.com

Form Completion Date*

Date

Parent/Guardian Signature (If you are unable to sign digitally, your submission will be considered confirmation of your approval.)

Please print and place in student's CUM file. Will be visible in student's transportation file (through the Parent Portal) after three schools days regina.firststudentinc.com

Regina Roman Catholic Separate School Division # 81

5301 Specialized Transportation for Students with Intensive Needs