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Student Travel Release

Student Travel Release
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Parent/Guardian First Name
required
Parent/Guardian Last Name
required
Parent/Guardian Full Name
Parent/Guardian Email
required
Student Name
required
Type of Activity
required
Date(s) of Activity
required
Event Location
required
Releasing Student To
required
Parent/Guardian
Someone other than parent/guardian

This selection requires prior Administrative approval. You will be notified via email upon its review.

Name of authorized person
required
Age Acknowledgement
required
I understand that the student cannot be released to someone under the age of 18
Permission Requested
required
Student Will Travel Separately To the Event
Student Will Travel Separately Following the Event
During an event
Both
Details (during an event request)
required

Dinner with family, medical appointment, visiting relatives, etc.

Select Your Student's Head Coach/Advisor for Final Submission
required
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Aimee Kirkland - aimee.tice@gmail.com
Amber Llewellyn - llewellyn@glasgow.k12.mt.us
Brenner Flaten - flaten@glasgow.k12.mt.us
Brian Burleson - brian.burleson@gmail.com
Carla Swenson - swenson@glasgow.k12.mt.us
Colby Minert - cminert@ohsvikings.org
Jeremiah Hopstad - jerhopstad@gmail.com
Jill Page - page@glasgow.k12.mt.us
Jordan Dunlap - jdunlap@glasgow.k12.mt.us
Jory Casterline - jorycasterline@gmail.com
Julia Kirkland - jkirkland@glasgow.k12.mt.us
Kale Love - kale.love11@hotmail.com
Karleen Fossum - fossum@glasgow.k12.mt.us
Katerina Heiser - katerinaheiser615@gmail.com
Kayla Larson - larson@glasgow.k12.mt.us
Lacey Brelje - laceybrelje@yahoo.com
Laurie Enebo - enebo@glasgow.k12.mt.us
Liberty Weber - lweber@glasgow.k12.mt.us
Lizzie Peters - epeters@glasgow.k12.mt.us
Luke Zeiger - lukezeiger33@gmail.com
Mathew Bacon - bacon@glasgow.k12.mt.us
Melissa Mickelson - mmickelson@glasgow.k12.mt.us
Michael Kelsey - michaellynk@hotmail.com
Monique Renne - renne@glasgow.k12.mt.us
Morgan Pope - mpope@glasgow.k12.mt.us
Nicole Boos - nboos@glasgow.k12.mt.us
Patrick Barnett - barnett@glasgow.k12.mt.us
Paul Yoakam - pyoakam@glasgow.k12.mt.us
Ryley Kehr - rkehr@glasgow.k12.mt.us
Sam Tedrow - stedrow@glasgow.k12.mt.us
Somer Hoerster - somerg13@hotmail.com
Tasheena Wilcox - wilcox@glasgow.k12.mt.us
Tim Phillips - tim@kltz.com
Todd Glaser - glaser@glasgow.k12.mt.us
Todd Truscott - ttruscott@glasgow.k12.mt.us
Trevor Klind - trevorklind@hotmail.com
Responsibility Acknowledgement
required
The undersigned hereby accepts responsibility for said student’s safety and behavior following release and specifically releases the Glasgow School District from any and all responsibility for said student following his or her release to the authorized person above.
Parent/Guardian Signature
required
Draw your signature in the area above, or use the saved signature button if available.
Date Signed by Parent/Guardian
required
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