Waiver Form For Parents For Daycare

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THIS IS A RELEASE OF CLAIMS AND WAIVER OF LIABILITY—READ IT CAREFULLY
!
BEFORE SIGNING
This is a legal document which, if signed, will have the effect of rendering you and your child
unable to bring any type of action against the Hopkinton Public Schools, the School Committee
for the Hopkinton Public Schools, the Town of Hopkinton, or any of its or their agents, because
of any harm you or your minor child may suffer as a result of his/her transportation to any
school bus stop other than his/her regular, residential bus stop of the Hopkinton Public Schools.
This agreement cannot be applied to bus transportation that conflicts with the district day to
day bus switching policy.
HOPKINTON PUBLIC SCHOOLS
CONSENT AGREEMENT AND WAIVER OF LIABILITY
1. I/We, ____________________________, as parent(s) or guardian(s) of
__________________________ , a minor child (hereinafter, the “Student”), hereby
acknowledge that the Hopkinton Public Schools provides bus transportation for the
Student between the Hopkinton Public Schools and the Student’s regularly scheduled
residential-area bus stop (hereinafter, the “Regular Residential-Area Bus Stop”) in
connection with his/her attendance at the Hopkinton Public Schools. I/We have
requested, and may from time to time throughout the school year, request that the
Hopkinton Public Schools permit the Student to ride school bus routes and to be
discharged from the school bus at bus stops other than the Student’s Regular Residential-
Area Bus Stop (such other bus routes and stops are hereinafter referred to as the
“Alternate Bus Stops” and/or “Alternate Bus Routes”). I/We, as parent(s) or guardian(s)
of the Student hereby give our consent to the Hopkinton Public Schools permitting the
Student to ride Alternate Bus Routes and to discharge the Student from the school bus at
Alternate Bus Stops. I/We further acknowledge and agree that the Student’s use of the
Alternate Bus Routes and the Alternate Bus Stops is completely voluntary on his/her part
and on my/our part, as parent(s) or guardian(s) of the Student. Notwithstanding the
foregoing, I/We acknowledge and agree that, as the parent(s) or guardian(s) of the
Student, on those occasions when I/we wish to have the Student transported from the
Hopkinton Public Schools to locations other than the Student’s Regular Residential-Area
Bus Stop, I/we have primary responsibility for providing such transportation. As such,
I/We acknowledge and agree that the Hopkinton Public Schools shall have the right at
any time and from time to time to refuse to transport the Student along such Alternate
Bus Routes and to such Alternate Bus Stops for any reason or for no reason and, as such,
may at any time require the Student to ride his/her regular residential bus route and to be
discharged at his/her Regular Residential-Area Bus Stop. I/We acknowledge and agree
that it is the Student’s responsibility to board the appropriate bus at the designated time
and that the Hopkinton Public Schools is not responsible to see or insure that the Student
boards the particular bus with the Alternate Bus Route and Alternate Bus Stop which
I/we intend the Student to board.
2. For good and valuable consideration, including but not limited to the Student being
allowed to use and/or participate in the Alternate Bus Routes and Alternate Bus Stops,
the receipt and sufficiency of which consideration I/we hereby acknowledge, I/we do

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