RICHLAND #44 RIDE WITH PARENT

RICHLAND #44 RIDE WITH PARENT PERMISSION FORM
***DUE by 3:00pm DAY OF CONTEST/EVENT***
STUDENT/ATHLETE NAME*
PARENT/GUARDIAN NAME*
My son/daughter has permission to ride home with the above-named parent/guardian OR individuals listed below, from the following sport events: blanks .
Additional authorized individuals:

*Students must be transported by an individual who is at least 21 years of age and possesses a valid North Dakota Driver's License and liability insurance.
Any additional information that is needed or that you would like to add
I relieve Richland High School of any liability (financial or otherwise) in case of illness, accident, or other emergency that may occur while transporting my student from the above listed event.
Name of Person Submitting Form*

First NameLast Name
Email*
example@example.com
Date

MonthDayYear
Date
Parent/Guardian Signature*

Clear
Should be Empty:

RICHLAND #44 RIDE WITH PARENT PERMISSION FORM