STAPLES HIGH SCHOOL

ATHLETIC CONTEST TRAVEL RELEASE

     DATE ____________________

This is to certify that ________________________________________has my permission to ride (to-from-both) the

           (STUDENT’S NAME)                                                                           (CIRCLE ONE)

__________________________athletic contest on ____________ 20 ____ at ______________________________

                    (SPORT)                                                             (DATE)                     (LOCATION OF CONTEST)

I certify that I am personally transporting the above name student.

The reason for not riding the bus is:

_____________________________________________________________________________________________

_____________________________________________________________________________________________                                                                      

_____________________________________________________________________________________________

(REASON MUST BE SUFFICIENTLY URGENT TO FAMILY NEEDS TO JUSTIFY NOT RIDING THE BUS)

I understand that Westport Public Schools Board of Education Policy requires that students ride the bus to and from all athletic events and a departure from this requirement will release the Westport Public Schools from any liability with reference to the above stated transportation.

Note:  All students participating in field trips, away games, and other official, school-sponsored, group events for which transportation is provided, are expected to travel to the event and return to school together, on school transportation.  All participants are to remain under the supervision of the teacher(s), coach(es), other school official(s) or designated chaperone(s) at all times, until they return to school. When school transportation is provided, participating students must ride it both ways; parents, chaperones and others may not drive students to or from the site of the event by private transportation. Exceptions to this rule may be allowed only with advance written permission from the school principal, who will grant exceptions only for emergencies, extreme hardships, or other unusual, extenuating circumstances.

This completed form must be given to your coach no later than the day of the athletic contest.

                                                                                                                ______________________________________

                                                                                                                SIGNATURE OF PARENT OR GUARDIAN

                                                                                                                ______________________________________

                                                                                                                 SIGNATURE OF ATHLETIC DIRECTOR

                                                                                                                _______________________________________

                                                                                                                           SIGNATURE OF PRINCIPAL

02/01/01