25-26 LuHi Shuttle Interest Form

Please complete this form if you intend to make use of the morning or afternoon Lutheran High School shuttle system. If you have more than one student using the shuttle, please complete a separate form for each.

Please note that shuttle use is intended for full-time riders only. Do not complete this form if you would use the shuttle less than 4 times a week.

Locations and Departure Times:

Cost:

$5 per day for one-way or round-trip usage

Payment Method:

Monthly usage will be recorded and payments will be made through the family's FACTs account on a monthly basis.

Student Information

Parent Information

Shuttle Options

I understand that I will be charged $5 a day for shuttle usage. I also understand that my tuition account will be charged on a monthly basis for the previous month's shuttle usage.

WAIVER AND RELEASE OF LIABILITY AND ASSUMPTION OF RISK FOR SHUTTLE SERVICE
 

This Waiver and Release (“the Agreement”) must be read, completed, and received by Lutheran High School (the “School”) prior to using the School Shuttle as more specifically described in Section A (“the Activities”).

In consideration for Student being permitted to ride the School Shuttle, I, the undersigned, agree to the following:

A.   Nature of the Activities. I understand and have discussed with my child that:

1. They will be traveling in a motor vehicle driven by an adult and they are to wear their safety-belt while traveling;
2. They are expected to respect other students, the vehicles they ride in, and the people they travel with during the trip;
3. Riding in a motor vehicle may result in personal injuries or death related to accidents, collisions, or act by riders, other drivers, or objects; and
4. They are to remain in their seat and not be disruptive to the driver of the vehicle.

B.   Assumption of Risk. I fully understand that participating in the Activities may not only involve risk of serious injury or death, economic loss, property damage, or other losses that may result from Student’s or my own actions, inactions or negligence, but also from the actions, inactions or negligence of others, and I voluntarily agree to assume this risk on behalf of Student. I agree that all such risks are my responsibility.

C.  Covenant Not to Sue. I, on behalf of myself, Student, and any personal and legal representatives, heirs, successors and next of kin of either, will not make or bring any Claims against the School, or any of its present or former directors, officials, employees, agents, attorneys, insurers, chaperones, volunteers, contractors, and other representatives of the School, and their respective successors, heirs and assigns (collectively referred to as “School Representatives”), for injury, damage, death or any other loss or Claims arising from or related to Student’s participation in the Activities.

D.   Release and Indemnification. I, on behalf of myself, Student, any personal and legal representatives, heirs, successors and next of kin of either, do hereby forever release, waive, discharge, relinquish, indemnify, and agree to hold harmless the School and School Representatives from any and all lawsuits, actions, causes of action, claims, charges, demands, losses, damages, costs, attorney’s fees, judgments, and liabilities of every kind and character, whether known or unknown, foreseen or unforeseen, including without limitation bodily injury, death, economic loses, damages, and personal injuries that may be sustained by me, the Student, or any other person in any way connected to, related to, or arising out of Student’s participation in the Activities, regardless of any cause or negligence of the School or School Representatives (collectively “Claims”).

Choice of Law and Venue. By signing below I irrevocably consent to the exclusive jurisdiction and venue of federal or state courts located within the state of Colorado, and no court in any other state or location shall have jurisdiction, in connection with any matter based upon or arising out of this Agreement or any Claims or other matters contemplated herein. This Agreement will be construed under the laws of the state of Colorado, without giving effect to any conflicts of laws principles or laws.

I have carefully read this Agreement and fully understand its contents. I have had opportunity to seek legal advice, if so desired. I am aware that I have given up substantial rights by signing

Confirmation BY ACKNOWLEDGING AND SIGNING BELOW, I AM DELIVERING AN ELECTRONIC SIGNATURE THAT WILL HAVE THE SAME EFFECT AS AN ORIGINAL MANUAL PAPER SIGNATURE. THE ELECTRONIC SIGNATURE WILL BE EQUALLY AS BINDING AS AN ORIGINAL MANUAL PAPER SIGNATURE.