Student Self-Transport Permission Slip

Student Self-Transport Permission Slip
Date

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Your student participates in the Organization* program with GISD. In order to participate in this program, your student will be required to provide their own transportation. Specifically, your student will be traveling independently to the following location on the noted dates and times:
Location
Dates

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Student Name
Student ID
Parent Name
Parent Phone
Format: (000) 000-0000.
Parent Email
example@example.com
Please review the options below and choose the option that is best for your student. If you have any questions, please don't hesitate to reach out to the sponsors.
My student will drive their own vehicle or be responsible for arranging their own transportation to/from the location above. I understand that my student is responsible for his/her safety while traveling.
I give my permission for my student to travel with another student to the location above. They are allowed to travel with the following students as drivers
I give my permission for my student to travel with another student to the location above They are allowed to travel with the following students as drivers
I would like to speak with the teacher about an alternative transportation solution
Parent/Guardian Printed Name
Parent/Guardian Signature
Date

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Should be Empty:

Please review the options below and choose the option that is best for your student. If you have any questions, please don't hesitate to reach out to the sponsors.