|
Students |
5141.4-AR |
TRANSPORTATION PERMISSION SLIP
A.
Purpose
and Scope
1.
For all
grade levels to outline the requirements for parent/guardian permission for
student participation in district-sponsored field trips, excursions, or
activities to use transportation other than provided by the school district.
2.
To
outline the requirements for parent/guardian consent to district provision of
waiver of claims.
3.
To
provide specific direction to district administrators and teachers as to these
requirements.
B.
General
1.
Suggestions
or questions concerning this procedure should be directed to the Director of
Business Services.
2.
Parent/guardian
permission is to be secured for any and all student participation in
district-sponsored field trips, excursions, or activities which are not simply
walking trips in the area surrounding the school or trips to other district
facilities and also when student is not taking school district transportation.
3.
Parent/guardian
consent to the conditions of the off-campus trip pass, and gives consent to
son/daughter to participate, and, in accordance with Education Code Section
1081.5 waiver of all claims against the district for injury accident.
4.
The
classroom teacher or faculty sponsor under the direction of the principal is
responsible for the execution of this procedure.
C.
Forms
Used and Additional References
1.
The
Transportation Permission Slip is used in conjunction with this procedure and
is available from the Risk Management Department.
a.
Exhibit
5141.4E-1 Transportation Permission Slip - For use when approval is requested
for specific activity only.
b.
Exhibit
5141.4E-2 Liability Insurance Statement - For use when private auto is to be
driven by staff member, adult or parent, or by another student.
2.
Transportation
Permission Slip and Liability Insurance Statement is prepared by the school as
follows:
a.
This
form will be used when approval for specific trip is required.
b.
All of
the information is to be inserted in the space provided.
c.
The
information relative to field trip/activity, sponsoring school
class/organization, departure place, date, time and conclusion date-estimated
time is to be inserted in the spaces provided.
d.
Method
of transportation to be checked.
e.
The
form is printed in black and white so it may be prepared as above and then
reproduced as a ditto master to run copies for distribution to the students.
f.
After
completion of the form, the school will send it home with each student involved
for completion by the parent/guardian.
3.
On
return from home, the school is to verify that the required approvals have been
made prior to allowing the student to participate in the field trip, excursion,
or activity outside the regular school boundaries.
4.
The
school principal is to maintain a list of the participating students for the
duration of the event or the period.
5.
This
form returned from home or a list certified by the principal that an approved
form is on file is to be in the possession of the individual supervising the
event for its duration, and subsequently returned to the principal.
D.
Reports
Required
If an incident of
illness or accident occurs, report per Administrative Procedure 5141.1 STUDENT
INJURY REPORT with a copy of the Transportation and Insurance Liability Form
should be sent to Risk Management.
E.
Records
Retention
All Transportation
Slips and Liability Insurance Forms are to be retained for the duration of the
school year.
F.
Responsible
Administrative Unit
Director of
Business Services
G.
Approved
by:
|
John Perry |
|
Nicholas
A. Siokos |
|
|
Responsible Division Head |
Date |
Superintendent |
Date |