Waiver Form For Parents For Daycare (Page 3 of 3) in pdf

Waiver Form For Parents For Daycare Page 3

5. I/We further authorize the Hopkinton Public Schools and its employees, volunteers,

contractors, or agents to require the Student to comply with any rules, standards of

behavior or instructions which have been established for the Alternate Bus Routes and

Alternate Bus Stops. I/We agree and acknowledge that the Hopkinton Public Schools

and its employees, volunteers, contractors or agents shall have the right to enforce such

rules, standards of behavior or instructions and shall have the further right to terminate

the Student’s use of and/or participation in the Alternate Bus Routes and Alternate Bus

Stops at any time upon a determination that the conduct of the Student is adversely

impacting and/or is incompatible with the interests, harmony, comfort, health, safety or

welfare of the Student, others and/or the Hopkinton Public Schools. In the event that the

Student’s use of and/or participation in the Alternate Bus Routes and Alternate Bus Stops

is terminated, I/We consent to have the Student transported home, at my/our sole

expense, in the most expeditious manner. I/We accept in good faith the judgment and

determinations of the Hopkinton Public Schools, and its employees, volunteers,

contractors or agents with regard to all matters relating to the supervision of the Student

while participating in and/or using the Alternate Bus Routes and Alternate Bus Stops.

6. I/We hereby represent that I/We am/are the custodial parent(s) and/or guardian(s) of

_______________________ and have full legal authority to execute this Consent

Agreement and Waiver of Liability on behalf of the Student, on my/our own behalf, and

that of my/our family as a parent and/or guardian of the Student.

I/We hereby acknowledge that I/We have had full opportunity to read and review this Consent

Agreement and Waiver of Liability and to consult with counsel and understand its contents.

I/We execute this Consent Agreement and Waiver of Liability voluntarily, freely and knowingly,

with complete understanding of the terms and conditions of the Agreement.

Parent/Guardian: ____________________ Date: _______________________

Please mail to: Hopkinton Public Schools

Administration Building – Transportation

89 Hayden Rowe Street

Hopkinton, MA 01748

Waiver Form For Parents For Daycare Page 3