Activities Event Travel Release | Cook County Schools

New date:

Month

Day

Year

This is to certify that

Student Name:

Will not be on the bust To/From the

Activity:

School event on

Date:

Month

Day

Year

at

Location of event:

The reason for not riding the bus is:

(The reason must be sufficiently urgent to family needs to justify not riding the bus)

I understand that the ISD #166 rules require that students ride the bus to and from all school events and a departure from the requirement will release the Cook County School District from all liability for any adverse results which may occur.

I understand that the student MUST RIDE WITH A PARENT OR PARENT DESIGNEE OVER THE AGE OF 21.

I agree to release ISD #166 and its employees and officers from all liability with reference to the above stated transportation.

Electronic Signature of the Person driving if not Parent/Guardian: *

Parent/Guardian's Electronic Signature: *