Darlington County School District

Darlington County School District Travel Liability Form *Please read thoroughly before signing*

All students who ride the District designated transportation for athletic events and field trips generally are expected to return home via the same mode of transportation. However, parents who follow the bus may desire for their child to return home with them in their private vehicle.

If a parent desires to transport his/her child back home in a private vehicle, please note the following:

. Once the parent removes his/her child from the District-sponsored bus, Darlington County School District is no longer responsible for the student's supervision. . Once the parent removes his/her child from the District-sponsored bus, the parent/adult designee assumes full responsibility for the child's supervision. . If the student is to ride with an adult other than his/her parent, the parent must name the adult assuming responsibility in writing in the space provided below. . Once the student is no longer the responsibility of Darlington County School District personnel, the driver of the privately owned automobile assumes all responsibility for the supervision and transportation of the student.

Please complete the following:

Student's Name: ______Grade: ______

Teacher: ____Coach Hofer & Coach Neumire______School: Darlington Middle School Event/Field Trip: ______Away Soccer Game______Date of Event: ___4/18/16______

Please mark your choice below and sign your name appropriately in the box below My child will return with his/her parent. I understand once I remove my child from the District- sponsored bus, I am assuming all responsibility for my child's supervision and transportation.

PARENT/GUARDIAN SIGNATURE:______

My child will return home with ______. (Name the adult responsible) I understand the person I have named as the responsible adult will assume all responsibility for the supervision and transportation of my child. I have explained to the adult listed above that once he/she removes my child from the District-sponsored bus, he/she assumes all responsibility for the safety and well-being of my child. At that point, Darlington County School District is no longer responsible for my child.

PARENT/GUARDIAN SIGNATURE:______

Signature: I have carefully read this Travel Liability Form and acknowledge that I understand it. I have indicated my desires for my child's return trip home from the athletic event and/or field trip. I have also signed in the space provided. I understand this form supersedes any verbal or previous written request in regards to my child's mode of transportation.

______Parent/Guardian Signature Date

Revised 1/31/08