File 0425

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FORNEY INDEPENDENT SCHOOL DISTRICT PARENT-DESIGNATED TRANSPORTATION FORM the parent/guardian of, a student enrolled in the Forney Independent School District, hereby assume responsibility or grant permission for to transport the (Wome of vehicle owner/operator and relationship o student) student named above from to (eparaure Location) (Destination Location) and back to (Deporte Location) Date of Trip: Time of Trip: Each student and his/her parent/guardian agrees to assume all risk and responsibility for personal injury or death, or damage to or loss of property, the student arising from, based upon or relating to the student's participation in the field trip. Each student and his/her parent/guardian understands and agrees that, in the event of any injury to the student, the District will not be held responsible for any decision relating to medical treatment for the student or for such treatment itself. thereby waive, release, and discharge the Forney Independent School District, its Board members, officers, and employees from any claim, demand, or cause of action arising out of the transportation herein provided and agree to indemnify and save harmless the Forney Independent School District and its employees from all claims for loss, damage, or injury sustained by me/designee or by the student named above. Parent/Guardian Signature: Date: Student Signature: ate: (18 years of ope or over) Principal Signature: _ Date: 36

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