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ATHLETICS TRANSPORTATION EXEMPTION REQUEST

As a condition of participation in Carson City School District athletic program, students are required to travel on buses, vans, or other transportation provided by the District to all school-sponsored activities, practices and/or games/events.  An exemption may be requested for school variance, school programming or family emergency.

  1. Requests for transportation exemptions must be submitted to the Coach or Athletic Director at least 48 hours in advance of the activity.  
  2. It is understood and agreed that this permission to provide our own transportation is conditionally approvedby the Coach or Instructor, Department Chair or Director, and School Administrator, and  can be revoked at any timeat their discretion.
  3. It is understood and agreed that my child or ward will not trans port any other student in his/her vehicle, except for his/her siblings who are also students at the school and involved in the same activity.  Drivers may not carry non-districtpersonnel, non-students, non-student family members , or other guests as passengers .
  4. The undersigned hereby accepts and assumes any and all risks associated with transportation to and from the described activity,  including,  but not limited to the risk of any and all injury to myself, my family, third parties, or property, including motor vehicles.
  5. The undersigned agree to release, indemnify,  defend and hold harmless the District, its officers, agents, employees, and/or volunteers from any and all claims, demands, losses, damages and expenses, including legal fees and costs, or other obligations or claims arising out of any liability or damage to property, or any other loss, sustained or claimed to have been sustained arising out of the transportation described above.
  6. It is understood and agreed that the District is not responsible for verifying private pas senger vehicles not owned by the District are insured and under no circumstances will the District’s liability  insurance become secondary should limits of insurance be inadequate.
  7. I have carefully read this authorization and fully understand its contents and voluntarily consent to its terms and conditions.


Today's Date: December 10, 2025

First Participant's Name

First Name*

Last Name*

Phone*
First Participant's Date of Birth*
Information

I request a transportation exemption on (DATE/TIME) for the following reason:


Date: *

Name of Event: *

Reason: *
If granted, the student will:*
First Participant's Signature*
Second Participant's Name

First Name*

Last Name*
Second Participant's Date of Birth*
Information

I request a transportation exemption on (DATE/TIME) for the following reason:


Date: *

Name of Event: *

Reason: *
If granted, the student will:*
Third Participant's Name

First Name*

Last Name*
Third Participant's Date of Birth*
Information

I request a transportation exemption on (DATE/TIME) for the following reason:


Date: *

Name of Event: *

Reason: *
If granted, the student will:*
Fourth Participant's Name

First Name*

Last Name*
Fourth Participant's Date of Birth*
Information

I request a transportation exemption on (DATE/TIME) for the following reason:


Date: *

Name of Event: *

Reason: *
If granted, the student will:*
Fifth Participant's Name

First Name*

Last Name*
Fifth Participant's Date of Birth*
Information

I request a transportation exemption on (DATE/TIME) for the following reason:


Date: *

Name of Event: *

Reason: *
If granted, the student will:*
Sixth Participant's Name

First Name*

Last Name*
Sixth Participant's Date of Birth*
Information

I request a transportation exemption on (DATE/TIME) for the following reason:


Date: *

Name of Event: *

Reason: *
If granted, the student will:*
Seventh Participant's Name

First Name*

Last Name*
Seventh Participant's Date of Birth*
Information

I request a transportation exemption on (DATE/TIME) for the following reason:


Date: *

Name of Event: *

Reason: *
If granted, the student will:*
Eighth Participant's Name

First Name*

Last Name*
Eighth Participant's Date of Birth*
Information

I request a transportation exemption on (DATE/TIME) for the following reason:


Date: *

Name of Event: *

Reason: *
If granted, the student will:*
Ninth Participant's Name

First Name*

Last Name*
Ninth Participant's Date of Birth*
Information

I request a transportation exemption on (DATE/TIME) for the following reason:


Date: *

Name of Event: *

Reason: *
If granted, the student will:*
Tenth Participant's Name

First Name*

Last Name*
Tenth Participant's Date of Birth*
Information

I request a transportation exemption on (DATE/TIME) for the following reason:


Date: *

Name of Event: *

Reason: *
If granted, the student will:*
Parent or Guardian's Email Address

Email
Check to receive information, news, and discounts by e-mail.
Your signed waiver will be sent to the email address provided here and is available for download for three days via URL attachment.
Driver's License Upload

Please note: The driver must be listed as an emergency contact in Infinite Campus/ Aktivate.. Must present a current driver’s license or identification to coach before being released.

  
Driver's License upload *
Valid file types: JPG, GIF, PNG, and PDF
Parent(s) or Court-Appointed Legal Guardian(s) must sign for any participating minor (those under 18 years of age) and agree that they and the minor are subject to all the terms of this document, as set forth above.


By signing below the Parent or Court-Appointed Legal Guardian agrees that they are also subject to all the terms of this document, as set forth above.
Parent or Guardian's Name

First Name*

Last Name*

Phone*
Parent or Guardian's Date of Birth*
Information

I request a transportation exemption on (DATE/TIME) for the following reason:


Date: *

Name of Event: *

Reason: *
If granted, the student will:*
Parent or Guardian's Signature*
Electronic Signature Consent*
 By checking here, you are consenting to the use of your electronic signature in lieu of an original signature on paper. You have the right to request that you sign a paper copy instead. By checking here, you are waiving that right. After consent, you may, upon written request to us, obtain a paper copy of an electronic record. No fee will be charged for such copy and no special hardware or software is required to view it. Your agreement to use an electronic signature with us for any documents will continue until such time as you notify us in writing that you no longer wish to use an electronic signature. There is no penalty for withdrawing your consent. You should always make sure that we have a current email address in order to contact you regarding any changes, if necessary.


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