BCSSMA

Organizing High School Drag Racing in B.C

 

Student Transfer Form

 

This form is to be used if a student is participating in a B.C.S.S.M.A. organized event and being supervised by a school other than the student’s own school.

 

Please Read Carefully

This Transfer Form acknowledges that the student’s home school is allowing him/her to attend a B.C.S.S.M.A sanctioned event(s) under the direct supervision of another school. Parental forms must also be signed and the both School Districts must have approved of these B.C.S.S.M.A. events. This form must be signed by the student’s school Administrator and by the receiving school’s Administrator and designated representative (Teacher). 

                         

******************************************************************************************************

 

STUDENT: _________________________________

 

Address:                 __________________________________________________

 

                                __________________________________________________            Phone # ___________________

 

_________________________________________              _________________________________________           __________________

Student                                                                                                    Signature                                                                 Date

 

_________________________________________              _________________________________________           __________________

Parent                                                                                                      Signature                                                                 Date

 

_________________________________________              _________________________________________           __________________

Parent                                                                                                      Signature                                                                 Date

 

 

 

STUDENT’S SCHOOL: ________________________________________________________

 

S.D. # ___________

 

Address:                 __________________________________________________            Phone #   ___________________

 

                __________________________________________________            Fax #       ___________________

 

_________________________________________              _________________________________________           __________________

School Administrator                                                                               Signature                                                                 Date

 

 

 

SCHOOL RECEIVING STUDENT: _______________________________________________

 

S.D. # ___________

 

Address:                 __________________________________________________            Phone #   ___________________

 

                __________________________________________________            Fax #       ___________________

 

We agree to accept the student from the above named school.

 

_________________________________________              _________________________________________           __________________

Receiving School Administrator                                                              Signature                                                                 Date

 

_________________________________________              _________________________________________           __________________

Designated School Representative                                                         Signature                                                                 Date

 

*Completed form must be kept with designated school representative supervising student.