Eden Prairie Activities Student Transportation, Permission, Release and Indemnification Agreement
Select one:
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To the event
From the event
Both
Student Name
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First Name
Last Name
What is the event?
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Sport
Other Activity
What event are you going to attend?
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Which sport/ activity are you going to attend?
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Cheer
Cross Country
Football
Marching Band
EPPT
Boys Soccer
Girls Soccer
Girls Swim and Dive
Girls Tennis
Volleyball
Alpine
Boys Basketball
Girls Basketball
Dance Team
Gymnastics
Boys Hockey
Girls Hockey
Nordic
Boys Swim and Dive
Wrestling
Badminton
Baseball
Boys Golf
Girls Golf
Boys Lacrosse
Girls Lacrosse
Softball
Synchro Swim
Boys Tennis
Boys Track and Field
Girls Track and Field
Science Olympiad Competition
Orchestra
Other
Driver of the vehicle
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First Name
Last Name
Do you want to submit this form for One Day or All Season?
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One Day
All Season
Date of the event
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Month
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Day
Year
Date
I hereby release and discharge the Eden Prairie School District #272, its agents, employees, and officers from all claims, demands, actions, judgments, and executions which I may have or my heirs, executors, administrators, or assigns may have or claim to have against Eden Prairie School District #272, its agents, employees, officers, parent-volunteers, successors in interest, or assigns for all personal injuries, known or unknown, and from all known or unknown injuries to property, real or personal, caused by or arising out of the above-described transportation.
I further agree that I shall indemnify and save harmless the Eden Prairie School District #272 and its agents, assigns and employees from all suits, actions, or claims of any character, type, or description brought or made for or on account of any injuries or damages received or sustained by any person or persons or property, arising out of, or occasioned by, the acts of the above-named student while he/she is transporting himself/herself, or being transported, in alternative transportation not provided by the District.
I further agree and understand that the Eden Prairie School District #272 does not have any control, involvement, or supervision over students who are providing their own transportation or who will be carpooling with other students or families to the locations of events associated with district activities.
I agree, as a legal parent or guardian, that I will provide proper instruction to my son/daughter about the dangers of distracted driving which may include, but is not limited to: the use of electronic devices, impaired driving, or distractions from other passengers. I will also provide instruction on the importance of wearing a seatbelt and that all passengers in the student’s care must also be wearing a seatbelt. I will also discuss the importance of obeying all posted speed limits and other signs as well as how to drive in a manner appropriate for the conditions. As a parent or legal guardian, I also agree to discuss the requirements of Minnesota’s graduated driver’s license law with my son/daughter and will not allow them to transport other students, or be transported by other students, if doing so would violate that law.
I further agree to ensure that any vehicle my son/daughter drives to district events is properly insured under state law. As a parent or legal guardian, I am solely responsible for ensuring that my son/daughter or anybody transporting my son/daughter, is a responsible driver and does not pose a risk to others on the road.
As a parent or legal guardian, I am voluntarily assuming the risks of loss, damage, or injury associated with my student’s transportation to or from district events and I voluntarily waive, release, and hold harmless the district arising out of any such loss, damage or injury unless it is caused by the gross negligence or willful or wanton misconduct of the district or its agents.
I, the undersigned, have read this Release and Indemnification Agreement and understand all of its terms and conditions. I execute it voluntarily and with full knowledge of its significance.
Student Signature
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Parent Signature
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Date
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Month
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Day
Year
Date
Submit
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