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Transportation
Admin
2023-09-28T11:41:47-07:00
AUTHORIZATION which is valid from August 15, 2023 - June 15, 2024
I authorize Hands for Hope aka Hands4Hope LA to transport my minor child, or children, named on this form, in a company Bus or Van, driven by an individual authorized by Hands4Hope LA.
I understand my child/children will be expected to follow all applicable laws regarding riding in a motor vehicle and is expected to follow the directions provided by the driver and/or staff or volunteer.
I have read, understand, and discussed with my child/children the following: (1) While traveling in the motor vehicle driven by the H4H staff/driver, my child shall wear their safety belt at all times.
(2) Children are expected to listen and follow directions of the supervising staff/driver, and respect the staff/driver, other children, vehicles they ride in, and the people they travel with during the trip .
(3) Riding in a motor vehicle presents risks, including personal injuries or death from collisions or acts by riders, other drivers, or objects, and I assume those risks; and,
(4) My child is expected to remain seated, and not to be disruptive in any way to the staff/driver of the vehicle.
Number of children in the program?
(Required)
Please enter a number from
1
to
3
.
Student Name:
(Required)
First
Last
Student Name:
First
Last
Student Name:
First
Last
Parent or Legal Guardian - Full Name
First
Last
Signature of Parent/legal guardian
Signing as parent/legalguardian for the child/children listed above.
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11210 Otsego St. N. Hollywood, CA 91601
Phone:
(818) 763-HOPE(4673)
Email:
info@hands4hopela.org
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