Moscow Junior-Senior High School

Parental Release Form

I am the parent/guardian of _____________________________________. I will be taking my child home

with me from the __________________________________ on _______________________________.

(Game/Activity) (Date)

I assume all responsibility and liability for (his/her) return trip home.

____________________________________________________ ___________________________

(Parent Signature) (Date)

____________________________________________________ ___________________________

(Administrator’s Signature) (Date)