Request to Drive Off-Campus Classes

EMERALD HIGH SCHOOL

2016/2017

DRIVE OFFCAMPUS

Fee: $15.00

Need a valid SC Driver’s License

All EHS fees must be paid in full prior to purchase

Must have completed “Alive at 25” course

Dear Parent /Guardian:

Your student has elected to take an off campus class at the G. Frank Russell Technology Center or other site. We do allowstudents the privilege of driving to the Technology Center, place of work, or other off campus class with parent permission. We also offer a bus to the Technology Center for students if they choose. – Mr. Nickles, Principal of EHS

Student’s Full Name: ______

Current Grade Level:______License Plate #: ______

Driver’s License#: ______

Vehicle Description: ______(Make, Model, Color and Year)

Name of OffCampus Class: ______

Semester: 1st 2nd Both

Block: 1st 2nd 3rd 4th

Location of Class: G. Frank Russell Technology Center

Lander or PTC

Work-Base

No Class Other Reason/Location: ______

Yes, I give ______(print student’s full name) permission to drive to an off-campus class. I understand that Emerald High School and Greenwood School District 50 will not be held responsible for any accident or injury which may occur while driving to or from an off-campus class.

I understand that my child should not transport otherstudents in his/her car without written permission of that student’s parent/guardian given_inadvance to EHS. Additionally, I understand that my child may not give the assigned parking pass to any individual.

______

Parent’s Signature Date

Step 1:

Paid all EHS fees

Purchased parking pass ______

Mrs. Ficklin’s Signature Date

Step 2:

Completed “Alive at 25”

Presented SC Driver’s License ______

Mrs. Donaldson’s Signature Date

To replace a lost parking pass you must submit a written statement tothe principal for approval and pay for an additional parking pass.Approval is for this student only and may not extend to other students.

Permission to Transport Another Student

Dear Parent /Guardian:

Your student has elected to transport another student to an off campus class at the G. Frank Russell Technology Center or other site. We do allow students the privilege of transporting other students to the Technology Center, place of work, or other off campus class with parent permission of the driver and parent permission of the passenger. We also offer a bus to the Technology Center for students if they choose. – Mr. Nickles, Principal of EHS

Yes, I give ______(print driver’s full name) permission to transport ______(print passenger’s full name). I understand that Emerald High School and Greenwood School District 50 will not be held responsible for any accident or injury which may occur while driving or riding to or from an off-campus class.I understand that my child may only transport the student in which he/she is seeking approval. He/she may not transport any other student.

______

Parent’s Signature of DriverDate

______

Parent’s Signature of Passenger Date