BISMARCK PUBLIC SCHOOLS

TRAVEL WAIVER PERMIT

Based on the understanding that squad members and coaches are transported as

one unit by school or commercial vehicles for all out of town contests from the point of

departure and returned to original departure point: permission is hereby requested for

______to leave the squad on ______

(Athlete’s Name) (Date)

at ______with full knowledge of his parents and/or guardians and will

(Departure Point)

return to Bismarck ______.

(Means of Transportation)

It is further understood that through the granting of this request the Bismarck

Public Schools, its administration, and coaches are absolved of all responsibility and

liability concerning this student athlete on said return trip to Bismarck.

______

(Player’s Signature)

______

(Parent or Guardian)

______

(Coach)