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Release from Care and Student Transportation Permission Form

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Please complete the form below. Required fields marked with an asterisk *

I hereby grant my permission for my child to be released from the care and supervision of the Sacred Heart Preschool or Sacred Heart Model School to the care of the Sacred Heart School for the Arts. Upon release of my child from the care and supervision of the Sacred Heart Preschool or Model School, I further grant my permission to be transported by bus to the classes listed below at the Sacred Heart School for the Arts to be returned and readmitted to the Sacred Heart Preschool or Model School upon conclusion of the class listed below unless noted otherwise on the form. In consideration of the making of the arrangements for transportation, I hereby release and save harmless Sacred Heart Schools and the Sacred Heart School for the Arts, Louisville, Kentucky and any and all personnel of the School of the Arts from any and all liability for any injuries, loss or damage to equipment/instruments, or other claims arising out of or resulting from this transportation or from participating in the class(es) listed below at the Sacred Heart School for the Arts. 

If your child will be participating in an afterschool class at SHSA (classes meeting after regular school hours) please list of ALL SHSA classes/lessons/rehearsals AND include DAY & TIME of class/lesson/rehearsal in the box below.

School Child Attends Daily*
Answer Required
Roundtrip Transportation Needed?*
Answer Required
Confirmation Email