Personal Liability Release Form

I certify that I am personally transporting the student named below.

Parent/Guardian First/Last Name

Student First/Last Name

I AGREE TO RELEASE PIPESTONE AREA SCHOOLS and its employees from any and all liability in transporting the above-named student. I acknowledge that I have auto insurance and a valid driver’s license.

Signature of Parent/Guardian

Name of Coach

Date

Personal Liability Release Form

Share this page