RELEASE AND WAIVER FOR TRANSPORTATI0N of Non‐Resident

(Open Enrollment) Students

Please read this form carefully and be aware that in signing this form and participating in Tanque Verde Unified School District’s transportation program, you are waiving potential legal claims. Specifically, you are releasing and waiving any and all claims for injuries that might be sustained by your child arising prior to embarking on and after disembarking from the District bus when on City property and not on District Property. This document serves as your acknowledgement that the District accepts responsibility for your child's or children's transportation from the designated bus stop to school and back to the bus stop. It is your responsibility to provide for appropriate supervision between the bus stop and home, both before and after school.

The undersigned parent or legal guardian hereby requests the District to allow the student(s) named below to participate in the District's transportation program as provided in District Policy JFB. Under the program, the student(s) will be transported daily, based on a five‐days‐per‐week participation for one school year, on District buses to and from a designated point on a regular District transportation route, as established by the District at the beginning and end of each school day. Participation in the program will be subject to termination by the District if any information provided is false or misleading.

The undersigned represents and warrants that the student(s) will be met by, and custody of the student(s) will be assumed by a responsible adult at the designated transfer point. The undersigned hereby waives, relinquishes and fully releases and discharges the School District, the City of Tucson, their officers, agents, servants and employees from any and all claims for injuries including, death, damage, or loss, which the undersigned or the student[s) may sustain, or which may accrue prior to embarking on the District Bus at the bus stop before school, and after disembarking from the District Bus at the bus stop after school when on City property and not on District Property.

I am giving my permission for my child(ren) to ride District buses for the school year. I realize it is my responsibility to deliver my child(ren) to an existing designated transfer point (bus stop), and I assume full responsibility for my child(ren) getting to and from the bus stop safely. I am also aware that if my child(ren) misbehave(s), my child(ren) may lose bus‐ riding privileges.

Name of Student(s): _______________________________________________________________

Address, City, Zip: _________________________________________________________________

School: ______________________________ Grade: __________ (If kindergarten. AM or PM or both)

Phone (work):_______________________ (home) _________________________

I have read and fully understand this Release and Waiver. The undersigned is (are) the parent(s) or legal guardian(s) of the above named student(s).

Signature(s) of Parent(s) or Legal Guardian(s) ___________________________________________

Date _________________________________

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TANQUE VERDE UNIFIED SCHOOL DISTRICT TRANSPORTATION PROGRAM

Under the Tanque Verde Unified School District No. 13 of Pima County transportation program, the student(s) will be transported daily, based on a five‐days‐per‐week participation for one school year, on District buses to and from a designated point on a regular District transportation route as established by the District at the beginning and end of each school day. The District’s transportation program is subject to District Policy JFB.

The student(s) named _____________________________________________________________

Will be transported to and from: _____________________________________________________

School Name(s): __________________________________________________________________

Route Number(s) and location(s) on designated route(s) for pick‐up and drop‐off: _______________________________

__________________________________________________________________________________________________

Pick.‐up Time(s): _________________________ Drop‐off Time(s): __________________________

The transportation program will operate according to the established District calendar on days the District is open. The District will use reasonable measures to notify the parent/ legal guardian ahead of time if the transportation program will not be operating on a particular day due to adverse weather conditions. Neither the District nor the City of Tucson will assume responsibility for the student(s) prior to the student(s) embarking on District transportation or after the student disembarks from District transportation when on City Property and not on District Property.

It is the responsibility of parents or guardians of the student(s) to be at the designated pick‐up point(s) within the District’s transportation area for pick‐up and to be at the transfer point to receive the student(s) when the bus drops the student(s) off after school. It is the responsibility of the parent or legal guardian to designate on alternative person to pick up the student(s), and to inform the District of the identity and contact information for such designated person, if the parent or legal guardian is unable to be at the transfer point to receive the student(s) for any reason.

Alternative Person: ______________________________________________

Address: _______________________________________________________

Phone number: _________________________________

Other information that will be helpful for the bus driver/transportation department should the alternative pickup person's help become necessary:

_____________________________________________________________________________________________

_____________________________________________________________________________________________

_____________________________________________________________________________________________

Signature(s) of Parent(s) or Legal Guardian(s)______________________________ Date_____________________

If you have any questions, please call the Transportation Office at 749‐9640. The office is open Monday through Friday from 6:00 AM to 4:00 PM

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