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LIABILITY WAIVER FOR STUDENT TRANSPORTATION

I, [parent/guardian name], hereby give permission for my child, [student name], to be transported by approved and background-checked adults to and from host homes for DNow. I understand that this transportation is being provided as a convenience for the participants and that reasonable efforts will be made to ensure their safety.


In consideration of the above and of the opportunity for my child to participate in this transportation, I agree to release, discharge, and hold harmless the transportation providers and their employees, officers, directors, agents, and volunteers, from any and all liability, claims, damages, or causes of action arising out of or in any way connected with the transportation.


I understand and acknowledge that the transportation providers have exercised reasonable care in selecting and approving the individuals who will be providing the transportation, and have conducted background checks on these individuals to the extent permitted by law. I further understand that the transportation providers will make every reasonable effort to ensure that the transportation is safe and free from any hazards or dangerous conditions.


In the event of an emergency or accident during the transportation, I authorize the transportation providers to seek and obtain emergency medical treatment for my child, and I agree to assume the cost of any such treatment.


I acknowledge that I have read this waiver and release, fully understand its terms, and sign it freely and voluntarily without inducement.

I Agree

First Participant's Name

First Name*

Middle Name

Last Name*
First Participant's Date of Birth*
First Participant's Signature*
Second Participant's Name

First Name*

Middle Name

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

First Name*

Middle Name

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

First Name*

Middle Name

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

First Name*

Middle Name

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

First Name*

Middle Name

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

First Name*

Middle Name

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

First Name*

Middle Name

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

First Name*

Middle Name

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

First Name*

Middle Name

Last Name*
Tenth Participant's Date of Birth*
Parent or Guardian's Email Address

Email
A signed copy of this waiver will be sent to the email address you provide.
Emergency Contact

First Name*

Last Name*

Emergency Contact's Phone Number*
Today's Date

Click to customize date box label *
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*

Middle Name

Last Name*
Parent or Guardian's Date of Birth*
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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