*Please allow up to 3 days for changes to be made. All requests may not be able to be made. The Transportation office will be in contact with updated information once completed*

The undersigned, being the parent(s) or guardian(s) of the student(s) named above, hereby authorize and direct the Stroudsburg Area School District to transport the above-named student by school bus to the destination set forth above, in substitution for the regularly scheduled destination point. I (We) agree that I (we) will in no way hold the Stroudsburg Area School District, its directors, officers, employees, and agents, liable or accountable for any claims resulting therefrom, and I (we) hereby assume full responsibility for the safety of said student from and after such student’s arrival at the aforementioned alternate destination.