Henry County Athletic Permission Form

Henry County Athletic Permission Form

STUDENT ATHLETE NAME: _____________________________________

PARENT/GUARDIAN NAME: _____________________________________

My son/daughter has permission to ride home with the below named parent/guardian from away sporting events (rather than returning on the bus with the team):

____________________________________

____________________________________

____________________________________

____________________________________

*Students must be transported by a parent/guardian who is at least 21 years of age and possess a valid Virginia Driver’s License and liability insurance.

I relieve Henry County Public Schools of any liability (financial or otherwise) in the event(s) of illness, accident, or other emergency that may occur while transporting my student from athletic events.

Date: _________________________________________                   Parent Guardian Signature: _________________________________

Teams that Practice or Play Off-Site

(Due to the location of facilities)

______I give my child permission to drive to practice or to a home game site throughout the season.

I relieve Henry County Public Schools of any liability (financial or otherwise) in the event(s) of illness, accident, or other emergency that may occur while transporting my student from athletic events.

Date: _________________________________________                   Parent Guardian Signature: _________________________________

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