TRANSPORTATION FORM

BY SIGNING THIS FORM, I AM AUTHORIZING JUST FOR KIDZ TO TRANSPORT MY CHILD FOR:

____ FIELD TRIPS                                ______OTHER:__________________________

____ TO AND FROM SCHOOL   :__________________________________________

____ EMERGENCY EVACUATION

I HOLD THE DAYCARE CENTER HARMLESS FOR ANY INCIDENT OR ACCIDENT INVOLVING MY CHILD
DURING THE TIMES THEY ARE TRANSPORTING IN ANY EVENT. I UNDERSTAND THAT ALL VEHICLES
ARE LICENSED BY STATE AND THAT ALL STAFF HAVE HAD THE PROPER TRAINING TO BE A DRIVER
FOR THIS COMPANY.

CHILD'S NAME ________________________________________________

PARENT'S NAME _______________________________________________

PARENT SIGNATURE ____________________________________________

DATE _______________________