Independent Walk Waiver

Please complete the following form. This information will be shared with the Contractor and Driver of your child's route. This change will be effective on the date indicated in the responding email. Please note your child will be unable to walk alone until transportation provides the start date to you in the responding email and is able to communicate this change to the Driver of your child's route in writing.

School Year

District

School

Grade

Student Last Name

Student First Name

Birth Date

GSACRD STUDENT ID#:

Bus #

Submitted by Confirmation required

I recognize and fully understand the potential hazards and risks in allowing my child to be dropped off at his/her regular school bus stop notwithstanding that there is no parent/guardian or designated older sibling to meet and accompany him/her to my home. I particularly recognize that it is my responsibility to ensure that my child is safe after disembarking from the school bus.

I waive Greater St. Albert Catholic Schools, its elected officials and officers, agents, administrators, independent contractors, employees and volunteers from and against all claims, demands, losses, costs, damages, actions and causes of action of any nature whatsoever, sustained by my child during any time the said student is disembarked from the school bus as outlined above.

Last Name

First Name

The information provided on this form, collected under the authority of the Protection of Privacy Act, will be used to provide and support programming and services in Greater St. Albert Catholic Schools. Questions regarding the collection and use of this information can be directed to the Transportation Manager or Access and Privacy Coordinator at 780-459-7711. The information may be used in automated systems to fulfill the purpose stated above

Independent Walk Waiver

More than one student matches the criteria submitted. Please select the student to use

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