Bolivar Marching Band

PERMISSION FOR ALTERNATIVE TRANSPORTATION

THIS FORM SHOULD BE SUBMITTED AT LEAST TWO WEEK PRIOR TO THE SCHEDULED ACTIVITY

Date                                       

Student’s Name                                                                                Grade                        

Instrument or Position                                                                                                         

I am requesting permission for alternative transportation for my son/daughter for the event listed

below according to the policies outlined in the band handbook.

                                                                                             on                                              

 INDICATE THE SPECIFIC PERFORMANCE EVENT             DATE OF THE EVENT

I would like my son/daughter to ride TO and/or FROM this event with                                                

                                                                                                          PERSON PROVIDING TRANSPORTATION

Reason                                                                                                                                            

Parent’s Signature                                                                            Phone #                                     

PERMISSION GRANTED BY MR. MCCLARD ON                           

PERMISSION DENIED BY MR. MCCLARD ON                                       

PERMISSION GRANTED BY MRS. GERBER ON                                    

PERMISSION DENIED BY MRS. GERBER ON                                    

THIS FORM WILL BE KEPT ON FILE FOR REFERENCE DURING THE GRADING PERIOD

BAND MEMBERS SHOULD RETURN THIS FORM TO MR. MCCLARD