LIBERTY BELL JUNIOR/SENIOR HIGH SCHOOL 18 Twin Lakes Road

_

Winthrop, WA 98862

_

509 / 996-2215

Permission to ride with an adult other than your parent Student Name:__________________________________________________ Date of Game: ________________ Location of Game: ___________________ Adult Authorized to Drive: ________________________________________ Parent Signature:________________________________________________ Principal or Athletic Director Signature:_______________________________ Due to safety and liability concerns, athletes will not be released to travel with anyone other than their own parent/guardian unless prior* administrative approval has been arranged. *Prior approval must be obtained 24 hours before the bus leaves. Students are not allowed to ride home with other students.

liberty bell junior/senior high school

LIBERTY BELL JUNIOR/SENIOR HIGH SCHOOL. 18 Twin Lakes Road _ Winthrop, WA 98862 _ 509 / 996-2215. Permission to ride with an adult other than your parent. Student Name: ...

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