PARENTAL TRANSPORTATION OF ATHLETE

West Deptford High School
Department of Athletics
Transportation Form

The following information is accurate and truthful. The reason for this request is that my daughter/son cannot follow the scheduled transportation for the high school team or activity, and I realize a note must be supplied to the Athletic Office/Coach for each instance that alternate transportation is being sought.

PARENTAL TRANSPORTATION OF ATHLETE

Name of Student:

Name of licensed and insured driver (parent/guardian):

Address of licensed and insured driver (parent/guardian):

Driver phone number (home):

Driver phone number (cell):

Driver’ License Number (parent/guardian):

Make of Vehicle:

Place and activity that student will be travelling to/from:

Date for participation in this activity:

Month

Day

Year

Time frame for participation in this activity:

Hour

Minute

Reason for driver’s need to pursue this alternate means of transportation:

NO PARENT OR GUARDIAN MAY TRANSPORT ANOTHER TEAM OR ACTIVITY STUDENT MEMBER THAT IS NOT THEIR SON/DAUGHTER TO ANY ATHLETIC OR ACTIVITY EVENT WHERE SCHEDULED TRANSPORTATION IS PROVIDED FOR THE TEAM OR ACTIVITY BY THE DISTRICT.

Parent-Guardian's Electronic Signature: *

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