Permission for Commuters
If you want to grant permission for your child to be able to leave Greenhouse unaccompanied to commute by foot, bike or train, or if they will be driving themselves or riding with a student driver, please complete this registration.
Your Name (Parent)
*
First Name
Last Name
Email
*
example@example.com
Student #1
Name of Student #1
*
First Name
Last Name
On which day(s) of the week might Student #1 commute? (Check all that apply.)
*
Monday
Tuesday
Wednesday
Thursday
Friday
How will Student #1 be commuting? (Check all that apply.)
*
By foot or bike
Driving oneself, or riding with student driver
By train
For students commuting by Metra: At what point do you grant permission for Student #1 to leave Greenhouse to walk to the train station? (How many minutes before the train's scheduled departure?)
5 minutes
10 minutes
15 minutes
20 minutes
25 minutes
30 minutes
Student #2
Name of Student #2
First Name
Last Name
On which day(s) of the week might Student #2 commute? (Check all that apply.)
Monday
Tuesday
Wednesday
Thursday
Friday
How will Student #2 be commuting? (Check all that apply.)
By foot or bike
Driving oneself, or riding with student driver
By train
For students commuting by Metra: At what point do you grant permission for Student #2 to leave Greenhouse to walk to the train station? (How many minutes before the train's scheduled departure?)
5 minutes
10 minutes
15 minutes
20 minutes
25 minutes
30 minutes
Student #3
Name of Student #3
First Name
Last Name
On which day(s) of the week might Student #3 commute? (Check all that apply.)
Monday
Tuesday
Wednesday
Thursday
Friday
How will Student #3 be commuting? (Check all that apply.)
By foot or bike
Driving oneself, or riding with student driver
By train
For students commuting by Metra: At what point do you grant permission for Student #3 to leave Greenhouse to walk to the train station? (How many minutes before the train's scheduled departure?)
5 minutes
10 minutes
15 minutes
20 minutes
25 minutes
30 minutes
Student #4
Name of Student #4
First Name
Last Name
On which day(s) of the week might Student #4 commute? (Check all that apply.)
Monday
Tuesday
Wednesday
Thursday
Friday
How will Student #4 be commuting? (Check all that apply.)
By foot or bike
Driving oneself, or riding with student driver
By train
For students commuting by Metra: At what point do you grant permission for Student #4 to leave Greenhouse to walk to the train station? (How many minutes before the train's scheduled departure?)
5 minutes
10 minutes
15 minutes
20 minutes
25 minutes
30 minutes
Student #5
Name of Student #5
First Name
Last Name
On which day(s) of the week might Student #5 commute? (Check all that apply.)
Monday
Tuesday
Wednesday
Thursday
Friday
How will Student #5 be commuting? (Check all that apply.)
By foot or bike
Driving oneself, or riding with student driver
By train
For students commuting by Metra: At what point do you grant permission for Student #5 to leave Greenhouse to walk to the train station? (How many minutes before the train's scheduled departure?)
5 minutes
10 minutes
15 minutes
20 minutes
25 minutes
30 minutes
Invisible end of section
Parental Permission
As parent or guardian for each student named above, I have the right to grant permission for him or her to commute unaccompanied by an adult.
*
Yes, I have the right.
No, I do not have the right.
I hereby grant my permission for personnel at Greenhouse to release the student(s) named above to commute unaccompanied by an adult on the schedule indicated above.
*
Yes, I hereby grant permission.
No, I do not grant permission.
I understand that once each student named above exits the Greenhouse building, he or she is no longer under the care of Greenhouse.
*
Yes, I understand.
No, I do not not understand.
I understand and accept the responsibility for the risks that can arise from having the student(s) commute unaccompanied by an adult. I will not hold Greenhouse (or any of its directors, officers, employees or agents) responsible for any harm which the student(s) may experience while commuting to or from Greenhouse.
*
Yes, I understand and accept full responsibility.
No, I do not not understand or accept full responsibility.
My permission for these arrangements extends until the end of the school year, unless I otherwise notify Greenhouse in writing.
*
My permission extends until the end of the school year.
No, my permission will end on the date shown below.
Permission extends until...
-
Month
-
Day
Year
Date
By entering my full legal name below, I indicate my agreement to all of the terms of this registration. (To complete the registration, click the "SUBMIT" button.)
Submit
Should be Empty: