Transportation Responsibility Release Form
I hereby release the ________________ Athletic Department from its portal-to-portal
responsibility for _
(Athlete’s First and Last Name)
contest on _
.(Date of Event)
Event for this date: _
_____________ will not be liable and/or culpable for any injuries, accidents, or other harm that may occur when the student is released to another party for transportation.
The above-named student will only be released to the following person(s):
Release to: _
(Please print names legibly)
Student Signature: _
Date received by Athletic Director: _
This form must be on file with the Athletic Director before the team leaves school.