This is to certify that my student-athlete(s), listed below, has my permission to travel in a vehicle not provided by Norwood-Fontbonne Academy during the 2019-2020 school year.

Student 1 First Namerequired

Student 1 Last Namerequired

Student 1 Graderequired

Student 2 First Name

Student 2 Last Name

Student 2 Grade

Student 3 First Name

Student 3 Last Name

Student 3 Grade

I certify that I am personally transporting the above-mentioned student-athlete(s), or have arranged transportation with the following persons:

Name

Preferred Phone

Name

Preferred Phone

Name

Preferred Phone

I agree to release Norwood-Fontbonne Academy, its employees, and administration from all liability with regard to the above-stated transportation.

Parent/Guardian Signaturerequired

Date (mm/dd/yyyy)