HS Alternate Transportation Form

Oxford High School Athletic Department

Request for Alternate Transportation

 

Athletes Name: _______________________________

Date Request Received: _______________

 

This is to request that __________________________is permitted to ride from the

                                                          Student’s Name                 

 

______________________________at_________________________ on ____________________.

               Name of Event                                        Location                                        Date

 

Student will be transported by ____________________________________.

                                                          Name of Adult Providing Transportation

 

I understand that it is the policy of the athletic department to have students ride to and from away contests on the team bus. I further understand that by allowing this student to be transported by another person, I am assuming all responsibility for their safety and absolving the Oxford Area School District of any damage to the vehicle or injuries that may occur as the result of an accident.

 

Student Signature _______________________________ Date ____________

 

Parent/ Guardian Signature _______________________ Date ____________

 

Parent Contact #:  _________________________

 

 

Coach Signature _______________________________    Date ____________