Los Gatos-Saratoga High School District

LOS GATOS-SARATOGA HIGH SCHOOL DISTRICT

TRANSPORTATION PERMIT

WORKABILITY 1/TPP

Group or Class: Workability 1/TPP

Date of Activity: TBA

Type of Transportation: Personal Car or School Van

I hereby grant permission for ______

to participate in the above program. I understand that neither the Los Gatos-Saratoga High School District not any of its employees will assume responsibility for injuries which might occur or for unanticipated costs.

Parent/Guardian Signature

Street Address

City, Zip Code

Home Phone # Work Phone #

Please return form to students’ special education teacher or mail or fax to me at:

17421 Farley Road West

Los Gatos, CA 95030

Fax: (408) 354-4198

Thank you,

Kristy St. George

Coordinator Workability/TPP

(408) 354-2520, x310