UNION LOCAL HIGH SCHOOL

ATHLETIC

UNION LOCAL HIGH SCHOOL

DEPARTMENT

66779 Belmont-Morristown Road· Belmont, Ohio 43718 Telephone (740) 782-1181 • Fax (740) 782-1346

ATHLETE/EXTRA

CURRICULAR

TRANSPORTATION

Date

_

I,

, request permission to transport (Parent/guardian's

my son/daughter

held at

COMPETITION

RELEASE FORM

name) -,--(Student's

--:-_-,-(Location of event)

to/from the extra curricular event name) when deemed necessary or appropriate

by the coach/advisor.

Parent/Guardian

Signature

Student Signature

***PARENT/GUARDIAN COACH/ADVISOR

MUST PRESENT HIMSELF/HERSELF

WITH THIS COMPLETED

RELEASE FORM.

TO THE