Brian Hoover
High School Principal

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ESU 4

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High School Student Driving Permit Form

Nebraska City High School
2007-2008
Student Driving Permit

The topic of students driving while at school is a very important safety issue
while at Nebraska City High School.  Students will need to have a signed
permit to drive during school hours if they are doing business for the school
or personal errands.  Please complete the form below as to your preference   
about the student driver or passenger.  

Student Name:__________________________________        Grade:__________  

Parents Name:__________________________________        Date:___________

Circle One:  My student may ride with other students during school hours.  Yes / No
 
Please Circle one item below:
  1. Yes--I give the above named student permission to drive their personal vehicle during school hours.                 
  2. No--I do not give the above named student permission to drive their personal vehicle during school hours.
  3. Yes--I give the above named student permission to drive their personal vehicle during school hours with the following stipulations.

Phone #:____________________________

Please List stipulations:

___________________________________________________________________________________

I the undersigned understand the above information and will abide by all school rules pertaining to driving during school hours for school business or personal errands.
 

______________________________                        ______________________________
               Parent Signature                                                          Student Signature  


If there are any questions or concerns please feel free to call the school and
we will do our best to answer them.  


Sincerely, 


Mark L. Adler--Principal

 

Nebraska City Public Schools
and
Educational Service Unit #4, Auburn, Nebraska