Alternate Transportation Form
NCE-UH Titans
Ryan Pahl A.D
 
                                                                                           

 
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I am the parent or legal guardian of  ______See Above Listed Student____(“my child”), a student who participates in an extracurricular activity sponsored by Independent School Districts 914 and 2215, Ulen-Hitterdal and Norman County East.  I understand that participation in school sponsored extracurricular activities is completely voluntary. Students who participate in school sponsored extracurricular activities or competitions as part of a team or group are generally required to ride to and from the games and competitions in district vehicles. An exception will be made if a student’s parent or guardian has signed this form and has submitted it to school administration or the activities director by NOON of the competition/contest day. This form only needs to be completed once per extracurricular season. (If they are in football, FFA, and baseball a form would need to be filled out for each activity.)

Assumption of Risk: I recognize and understand that travel to or from any extracurricular event or activity in a private vehicle involves inherent risks, including, but not limited to, the risk of contracting COVID-19 or other sickness, the risk of serious physical injury or death, and the risk of property loss. I also understand that the District cannot decrease these risks or an adult (including myself) in a private vehicle to and from extracurricular events or activities. Knowing the inherent risks and dangers involved, I hereby voluntarily assume such risks and give permission as follows (please select the box):
 
  Please select: 
     
 

 

Knowing and Voluntary Waiver: In consideration for the convenience associated with the District allowing my child to travel to and from games, meets, matches, competitions and other organized team activities in a private vehicle, and knowing the inherent risks and dangers that are involved in being transported in a private vehicle, I voluntarily waive and forever release the Districts and its current and former board members, officers, disrectors, employees, agents, insurers, and representatives from any and all liability, actions, claims, and demands for sickness, illness, personal injury, death, or property loss arising out of or relating to my request that my child be permitted to travel in a private vehicle to games and competitions for the extracurricular activity that I have identified above. I understand that this means I cannot sue the District if my child is injured while driving or being transported in a private vehicle to the extracurricular event or activity identified above, including, but not limited to, games, meets, matchs, competitions, and other organized team activities. 

Hold Harmless: In addition, I now agree to hold the District and its board members, officers, directors, employees, agents, and representatives harmless from any and all claims, demands, or liabilities for sickness, illness, injury, death, or loss of property arising out of or relating to my child’s transportation in a private vehicle to the school sponsored extracurricular activity that I have identified above. 

 

 
I HAVE READ THIS DOCUMENT CAREFULLY AND UNDERSTAND IT IS LEGALLY BINDING.
 
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  Send a copy of the completed form to this email address : 


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Address
27 2nd St NW
PO Box 389
Ulen, MN  56585 
Phone:  218-596-8853
Fax:  218-596-8610
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