ROBINSON SECONDARY PARENTAL
AUTHORIZATION & ACKNOWLEDGEMENT OF RISK
(student riding with another student for athletic activities)
 

I, _____________________________________________________ give permission for my
                                                                 (print parent name)

son/daughter ____________________________________________ to ride in a vehicle driven by
                                                        (print student's name)

another student (designated driver), who is driving to and from practice, and/or competitions, and/or other team functions.

My son/daughter (by signature below), agrees to  stay within the boundaries of this authorization, and  understands that any deviation will automatically revoke it; and, further understands that any deviation will place at risk his/her position and status on, and with, the Robinson Rams Team on which he/she is participating.

I understand that no student can be designated a driver without completion of the appropriate form, FS-142 (Field Trip Driver's License and Vehicle Insurance Information); which is to be completed by the designated driver's parent or guardian.

I further understand that I may revoke this permission at any time by contacting the Head Coach or the Director of Student Activities.

_________________________________________
                                 STUDENT SIGNATURE

_________________________________________
                         PARENT SIGNATURE