FMG(EXHIBIT) - STUDENT ACTIVITIES: TRAVEL

McCAMEY INDEPENDENT SCHOOL DISTRICT

STUDENT RELEASE FORM

Date _______________________________

Student's Name _________________________________________

I give _____________________________________ (Responsible Party's Name) permission

to transport my child home from _________________________ (Activity).

I accept all responsibility of the return trip home, and will not hold McCamey Independent School District, administrators, or sponsors responsible for any personal injuries or death of such student arising out of transportation.

(Signature of Parent or Guardian)

(Signature of Responsible Party)

(Signature of Principal or Designee)

McCamey ISD

FMG(EXHIBIT)-X

LDU752

DATE ISSUED: 1/20/1986