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Dodge City Middle School

Cardinal Nation

Transportation Form

Transportation Form

DODGE CITY USD 443 – ACTIVITIES / ATHLETICS
REQUEST TO TRANSPORT STUDENT FROM GAME SITE OR ACTIVITY

(For use with students riding district transportation to attend an activity, but wish to return home with a parent/guardian.)
Please make arrangements to have this form completed 48 hours prior to the scheduled trip.

Transportation Form - Printable Version


I request that _________________________________________ be released to my custody after
                                  (print student full name clearly)


(Activity/Sport)____________________________ in (Event Location)_________________________________ on (Date_______________ rather than returning to the school in the transportation provided by Dodge City USD 443.


I understand and acknowledge that athletes are expected to ride the scheduled school transportation to and from the event. I do not wish to have my student use district transportation to return home from this activity and request that my student be released to my custody. I understand that my signature signifies that USD 443 is no longer responsible for the safety or transportation of my student on his/her return home from this event.


PARENT SIGNATURE____________________________________________________         

Date_____________________


ATHLETIC DIRECTOR SIGNATURE____________________________________________________       

Date______________________


STUDENTS WILL BE RELEASED ONLY TO THEIR PARENTS AT THE SITE OF THE CONTEST