MISSION JAX TRAVEL FORM Campus * Hodges Southside Palm Valley Name of Parent Picking Up or Dropping Off * First Name Last Name By checking this box you understand that you are responsible for all costs associated with picking up or dropping off your child at MissionJax (Chets Creek, South Campus). You also understand that you MAY NOT be able to pick them up at the EXACT TIME requested. We will try to accommodate as much as possible but we will have to use allotted free times in our daily schedule. * I understand that I must be flexible in the time that I need to drop off or pick up my student and that I am responsible for all travel costs and travel liability associated with this request. Yes, I agree Name of Student * First Name Last Name Are you picking up your student early from MissionJax or dropping them off late at MissionJax? * I am PICKING up my student early from Mission Jax I am DROPPING off my student late at Mission Jax WITH SPECIAL PERMISSION FROM CHETS STAFF (THIS MUST BE CONFRMED) - My high school student is driving up late to THRIVE - I understand that my student and my family is responsible for all travel expenses and travel liability to and from Mission Jax. What Day and Time are you DROPPING OFF or PICKING UP your student at MissionJax? * Please be as specific as possible in regards to time. We will accommodate as best as possible, but please be aware that times may have to change based on the scheduled calendar of the weekend. Parent Cell-Phone * (###) ### #### Student Cell Phone * (###) ### #### Parent Email * I understand that if my high school student is given permission to drive to or from MissionJax that they must relinquish their car keys while on campus at MissionJax and that only students who arrived with them in their vehicle can ride home with them in their vehicle. No other "new" students can ride in a student's vehicle. I also understand that I am liable for any student traveling in my child's vehicle and that Chets Creek Church is not responsible for any travel liability in case an accident or other event occurs during travel. I also understand that the other student's MUST HAVE PARENTAL PERMISSION & THE CHETS STAFF MUST KNOW THEY ARE ALSO RIDING with my student. * Yes, I Understand Digital Signature * By typing my name below I acknowledge as the PARENT/GUARDIAN of the student listed above that I have read and understand all requirements of Chets Creek Church's travel policies listed above for student travel to and from THRIVE. Text Thank you! Please wait on CONFIRMATION from our CSM staff before planning this travel arraignment. Remember, we try to accommodate as much as possible but the EXACT pick up/drop off time may be readjusted based on the camp schedule.
