HomeMy WebLinkAboutTigard Tualatin School District - SRTS Equipment Agreement - IG273002 IG273002
City of Tigard
Safe Routes to School Equipment Usage Agreement
This Equipment Usage Agreement (Agreement) is made and entered into by and between the City
of Tigard ("City") and Tigard-Tualatin School District ("Borrower").The entities listed above may
collectively be referred to as the Parties.
I. PURPOSE
The purpose of this Agreement is to document a framework of cooperation in the Safe Routes to
School Program ("SRTS") that is being developed and run by the Parties for the benefit of the youth
and the community to ensure educational knowledge is provided to all economic levels and to
provide a safer environment while youth are traveling to and from school, through education and
training.
II. CITY RESPONSIBILITIES
City will:
A. Transport the Equipment to and from City of Tigard facility.
B. Administer and staff the Safe Routes to School Programs at the locations referenced in
Exhibit B.
C. Maintain the equipment listed on Exhibit A (the "Equipment") to this Agreement for the
purpose of providing quality education and safety training for proper bike and kick scooter
usages.
D. Provide curriculum as part of SRTS that may be used by the Borrower.
E. Schedule events for SRTS,including training and use of Equipment.
III. BORROWER RESPONSIBILITIES
Borrower will:
A. Allow use of the Equipment in a safe manner that minimizes the risk of injury or damage to
persons and property.
B. Agree to follow City's scheduling process for the Equipment.
C. Make any repairs to Equipment damaged while in Borrower's possession or as a result of
Borrower's activities. This does not apply to damage resulting from normal wear and tear of
Equipment.
D. Secure the Equipment when not in use.
IV. GENERAL TERMS
A. TERM. This Agreement is effective upon the date last signed by the Parties and will
continue until July 1,2027,unless otherwise amended or terminated. This Agreement may
be terminated upon 30 days'written notice to the other Party.
B. INSURANCE. Each Party agrees to maintain Auto, General Liability, and Workers
Compensation insurance or self-insurance in accordance with ORS 30.282, for the duration
of this Agreement at levels necessary to protect against public body liability as specified in
ORS 30.269 through 30.27.
Page 1
C. INDEMNIFICATION. This Agreement is for the benefit of the Parties only. Each Party
agrees to indemnify and hold harmless the other Party, and its officers, employees, and
agents, from and against all claims, demands and causes of actions and suits of any kind or
nature for personal injury,death or damage to property on account of or arising out of
services performed, the omissions of services or in any way resulting from the negligent or
wrongful acts or omissions of the indemnifying party and its officers, employees and
agents.To the extent applicable, the above indemnification is subject to and shall not
exceed the limits of liability of the Oregon Tort Claims Act (ORS 30.260 through 30.300).
In addition, each Party shall be solely responsible for any contract claims, delay damages or
similar items arising from or caused by the action or inaction of the Parties under this
Agreement.
D.DAMAGE TO PROPERTY. The Equipment is the property of the City. The City will
insure the Equipment from covered causes of loss at all times. However,individual losses
concerning items damaged,stolen or misplaced under City's insurance deductible of$1,000
will be the responsibility of the Party in control of the Equipment at the time of the loss.
Value of damaged,stolen or misplaced items will be determined based on replacement cost
for items of like kind and quality as determined by the City.
E. PROJECT MANAGERS
City Borrower
City of Tigard Tigard-Tualatin School District
Attn: SRTS Coordinator 6960 SW Sandburg St.
13125 SW Hall Blvd. Tigard, OR 97223
971-294-3693 (503) 431-4076
Daniel.keller@tigard-or.gov
F. MODIFICATION. Modifications to this Agreement may be made by mutual consent of the
Parties,in writing,prior to any changes being performed. Exhibits to this Agreement may
be added, revised or deleted by the consent of both Parties' Project Managers without
modifying this Agreement.
G.DISPUTE RESOLUTION. The Parties will attempt to informally resolve any dispute
concerning any Party's performance or decisions under this Agreement, or regarding the
terms, conditions or meaning of this Agreement.The Parties agree that in the event of an
impasse in the resolution of any dispute,the issue will be submitted to the City Manager and
Borrower's chief executive for recommendation or resolution.
[Signature Page to Follow]
Page 2
City of Tigard Tigard Tualatin School District 23J
Signed: Signed: -
L
Name: Name: Jessica Seay
Title: Title:
Chief Financial Officer
8/26/26
Date: Date:
EXHIBIT A
Safe Route to School-Schedule of Property
Item Cost Per Item Unit Total Cost
Trailer $6,200.00 1 $6,200.00
Anti-theft Devices $100.00 1 $100.00
Interior Bike Hooks $16.00 34 $544.00
Bicycle: Giant Revel 26-inch wheel $330.00 5 $1,650.00
Bicycle: Scott 24-inch wheel $550.00 20 $11,000.00
Bicycle: Giant GFR 20-inch wheel $280.00 5 $1,400.00
Bicycle: miscellaneous $100 3 $300.00
Heavy Duty Training Wheels: Fatwheel $150.00 1 pair $150.00
Heavy Duty Training Wheels: Cycling Deal $159.00 1 pair $159.00
Heavy Duty Training Wheels:E-Z Trainer $210.00 1 pair $150.00
Tool Kit&Floor Pump $250.00 1 $200.00
Bike Repair Stand $100.00 1 $100.00
Tires,Tubes,Cables,&Other Bike Parts $300.00 assorted $300.00
Bike Helmets (various sizes) $10.00 120 $1,200.00
Reflective Vests $10.00 60 $600.00
Portable"Bikes in Roadway"Traffic Signs $240.00 4 $960.00
Miscellaneous cones,signs,and course markers assorted $300
Razor Al Kick Scooter $30.00 30 $900.00
Razor A5 Lux Kick Scooter $100.00 16 $1,600.00
Micro Kickboard Maxi Scooter $130.00 3 $390.00
Multi-Sport Helmets (various sizes) $6.00 60 $360.00
Knee/Elbow/Wrist Guard Sets $10.00 30 $300.00
Crosswalks,2'x6'rubber mats $30 4 $120.00
Sterilite 40Gal Wheeled Industrial Tote $23.00 10 $230.00
$29,323
Page 4
EXHIBIT B
CITY OF TIGARD/SAFE ROUTES TO SCHOOL&TIGARD TUALATIN SCHOOL
DISTRICT LIST OF PARTICIPATING SCHOOLS:
• Alberta Rider Elementary School
• Art Rutkin Elementary School
• Bridgeport Elementary School
• Charles F.Tigard Elementary School
• Deer Creek Elementary School
• Durham Elementary School
• Edward Byrom Elementary School
• James Templeton Elementary School
• Mary Woodward Elementary School
• Metzger Elementary School
• Tualatin Elementary School
CITY OF TIGARD/SAFE ROUTES TO SCHOOL&TIGARD TUALATIN SCHOOL
DISTRICT LIST OF SAFE ROUTES TO SCHOOL PROGRAMS:
• Bike Rodeos: Provide instruction on basic pedestrian skills and how to be safe bicyclists.
The Bike Rodeo includes a bike safety inspection and a series of skill stations directly related
to everyday bicycling situations. Participants will practice starting and stopping.The safe way
to exit a driveway,how to look for traffic,negotiate an intersection,and avoid common road
hazards. Participants can bring their own bike and helmet or use a bike and helmet from the
Safe Routes to School Fleet. Open to the public at no cost.
• Pedestrian + Scooter Safety Education (2nd Grade): Elementary schools have the
opportunity to include a Pedestrian + Scooter Safety Education course for their 2nd grade
classes. The course includes a mix of classroom and outdoor lessons, spanning roughly
one week. The Safe Routes to School Coordinator will collaborate with a teacher at each
partner school to present the lessons, and The City of Tigard will loan scooters to each
school from its fleet. The purpose of the course is to provide students with the basic
knowledge and skill practice necessary to be safe pedestrians,while also building
foundational handling skills to support their development as cyclists.
• Bike Safety Education(5th Grade): Elementary schools have the opportunity to include
a Bike Safety Education course for their 5th grade classes. The course is flexible and will
include a mix of classroom and outdoor lessons, spanning roughly one to two weeks. The
Safe Routes to School Coordinator will collaborate with a teacher at each partner school
to present the lessons, and The City of Tigard will loan bikes to each school from its fleet.
The purpose of the course is to teach students basic traffic rules and regulations, the skills
needed to cycle effectively, and how to communicate and ride predictably on the road.
1!1
Please sign this form and return to your child's teacher � SafeROUteS
'Pm I Tigard Safe Routes to School
O. TIGARD
Release and Consent Form
Dear Parents/Guardian,
Your child has been given the opportunity to participate in the Bicycle Safety Education Program at your school.The Program is an
award-winning,comprehensive curriculum offered by The Tigard-Tualatin School District in partnership with the City of Tigard
Safe Routes to School Program that will teach traffic safety through classroom activities and on-the-bike skills practice.Students will
learn skills such as helmet use,hand signals,traffic signs,and maneuvering through intersections and out of driveways.The bicycle
training will be presented on the school grounds and may also incorporate travel on surrounding community streets,led by The City
of Tigard's Safe Routes to School Coordinator,teaching staff,and school volunteers. Participants must agree to follow the rules set
out in class,on school grounds,and on any rides that occur off campus in order to stay as safe as possible.
The purpose of the Bicycle Safety Program is to teach safety and skills in an effort to reduce the risk of bicycle injuries.However all
travel involves the chance of an accident that may result in serious injury or death.The City of Tigard,The Tigard-Tualatin School
District,volunteers,participants,and family helpers cannot eliminate the chance that a participant may be injured in spite of taking
every effort to be safe. Participating families must assume any and all risks and hazards associated with this program by signing a
release and waiver of rights contained below in exchange for being allowed to participate
All participants must have this consent and release form signed by a parent or legal guardian.The following conditions apply:
1. All participants will be taking part in physical activity,mainly cycling.Individuals in average health will be able to comfortably
participate;it shall be each individual's responsibility to be sure they are in a healthy condition.
2. Bicycle riding will occur both on the school grounds and on-streets, therefore, all activities are potentially dangerous.
Participants must adhere to the rules set out in class in order to assume responsibility for their risk.
3. Neither the Tigard-Tualatin schools nor the City of Tigard will assume legal liability for any program participants.Participants
must possess their own.
4. If my child is taking the course using his/her own bicycle and/or helmet I agree to inspect the bicycle and/or helmet prior to the
course to ensure these items are safe for my child's use. I understand that neither the City of Tigard nor The Tigard-Tualatin
School District can inspect the bicycle or helmet for safety and that I must do so.I specifically understand that bicycle helmets
are considered unsafe if they have been worn in any crash,no matter how slight,or dropped from a height of more than three
feet onto any hard surface or are over 5 years old.I understand that this is the case even if the helmet shows no visible signs of
damage.Bicycles and helmets are provided as part of this program.
I (parent or guardian's name),give my consent for
(student's name)to participate in the Bicycle Safety
Program.
I hereby release and hold harmless the City of Tigard and The Tigard-Tualatin School District and any of their agents, employees
and volunteers,and any other program participants from any and all liability or responsibility,causes of action,claims,demands,and
damages of every kind, for negligence, gross negligence, strict liability, or any other kind of claim which may arise out of my
participation in the Bicycle Safety Program. I agree that this release shall be binding on me and any legal representative, heirs, and
assigns. I have read this release and am familiar with its contents.
Parent/Legal guardian signature Date
Safe/outes
-- Tigard Safe Routes to School
l! IGARD•
f
Additionally,photos/videos are taken during class to document and promote our Safe Routes to School Program so in signing this release
you are agreeing to allow your child to be photographed/video-recorded. No personal information will be published with photo/video;
the photographer owns the copyright for photos/videos. Your signature waives any claims you may have based on any usage of
photos/videos or works derived there from.
❑ Check here if you DO NOT agree to allow your child to be photographed/video-recorded during Bike Safety Education classes.
❑ Check here if your child DOES NOT know how to ride a bicycle.
❑ Check here if you are interested in volunteering for the program and include your contact information below:
Volunteer preferred contact phone email
Por favor firmar y regresar a la maestra n� • SafeRoutes
-m . Tigard Safe Routes to School
O. TIGARD
Comunicado y formulario de consentimiento
Estimados padres/guardianes,
Su hijo se ha dado la oportunidad de participar en el Programa de Educacion de Seguridad de Bicicleta en su escuela.El programa
es un galardonado y comprensivo plan de estudios ofrecido por el Distrito Escolar Tigard-Tualatin en colaboracion con el
programa de Rutas Seguras a la Escuela de la ciudad de Tigard que se enfoca en la ense%ianza de seguridad vial a traves de las
actividades del aula y la practica de habilidades en la bicicleta.Los estudiantes aprenderan habilidades como el use de cascos,
se%iales de mano,senales de trafico y maniobras a traves de intersecciones y de caminos de acceso.El Programa de Educacion de
Seguridad de Bicicleta sera presentado en la escuela y quizas alrededor en las calles de la comunidad,dirigido por el Coordinador
de Rutas Seguras de Tigard,docentes de la escuela,y voluntarios de la escuela.Los participantes deben aceptar seguir las normas
establecidas en la clase,en la escuela y en cualquier paseo que occura en los alrededores de la escuela para estar tan seguro como
sea posible.
El proposito del programa de seguridad de bicicleta es ensenar habilidades y seguridad en un esfuerzo por reducir el riesgo de
lesiones de bicicleta.Sin embargo todo viaje implica la posibilidad de un accidente que puede resultar en lesiones graves o la
muerte.La ciudad de Tigard,el el Distrito Escolar Tigard-Tualatin,voluntarios,participantes y ayudantes familiares no pueden
eliminar la posibilidad de que un participante puede ser heridos a pesar de tomar todo lo posible para estar a salvo.Las familias
deben asumir todos los riesgos y peligros asociados con este programa mediante la firma de una liberacion y renuncia de derechos
que figuran a continuacion a cambio de ser permitido a participar
Todos los participantes deben contar con este consentimiento y liberar el formulario firmado por un padre o tutor legal.Se aplican
las siguientes condiciones:
1.Todos los participantes participaran en la actividad fisica,principalmente ciclismo.Individuos en promedio salud podran
participar comodamente;sera responsabilidad de cada individuo para asegurarse que esten en una condicion saludable.
2.Bicicleta caballo tendra lugar tanto en la escuela y las calles,por lo tanto,todas las actividades son potencialmente peligrosas.Los
participantes deben cumplir con las normas establecidas en clase con el fin de asumir la responsabilidad de su riesgo.
3.Ni la Tigard-Tualatin escuelas ni la ciudad de Tigard asumira responsabilidad legal para los participantes del programa.Los
participantes deben poseer su propia.
4. Uso de si mi hijo esta tomando el curso utilizando su propia bicicleta o casco,que estoy de acuerdo para inspeccionar la bicicleta
o casco antes del curso para que estos elementos son seguros para mi hijo.Entiendo que el Distrito Escolar Tigard-Tualatin de
ni ciudad de Tigard puede inspeccionar la bicicleta o el casco de seguridad y que debo hacerlo.Especificamente,entiendo que
cascos de bicicleta se consideran inseguros si han sido usados en cualquier accidente,no importa como leves o caidas desde una
altura de mas de tres pies sobre cualquier superficie dura o mas de 5 anos.Entiendo que este es el caso incluso si el casco no
muestra senas visibles de dano.Bicicletas y cascos se proporcionan como parte de este programa.
Yo (Nombre del padre o tutor),doy mi
consentimiento para (nombre del estudiante)para
participar en el programa de seguridad de la bicicleta.
Por la presente liberar y eximir de la ciudad de Tigard y el el Distrito Escolar Tigard-Tualatin y cualquiera de sus agentes,empleados y
voluntarios y cualquier otros participantes en el programa de toda y cualquier responsabilidad o responsabilidad,causas de accion,
reclamaciones,demandas,y bruto de danos y perjuicios de toda clase,por negligencia,negligencia,responsabilidad estricta o cualquier
otro tipo de reclamacion que surja de mi participacion en el programa de seguridad de la bicicleta.Estoy de acuerdo que esta version sera
vinculante para mi y cualquier representante legal,herederos y asigna.He leido esta version y estoy familiarizado con su contenido.
SafeRoutes
-• Tigard Safe Routes to School
l! IGARD•
E
Firma de Padre/Tutor Legal Fecha
Ademas,fotos y videos son tomadas durante la clase para documentar y promover nuestras rutas seguras a la escuela programa para
firmar este comunicado esta aceptando permitir que su hijo sea fotografiado/video-grabado.Ninguna informacion personal sera
publicada con foto/video;el fotografo es propietaria de los derechos de autor de fotos y videos.Su firma renuncia a cualquier
reclamacion que usted puede han basado en cualquier use de fotos y videos o derivada.
❑ Marque aqui si usted No esta de acuerdo permitir que su hijo sea fotografiado/video-grabado durante las clases de Educacion de
seguridad de bicicleta.
❑ Marque aqui si su hijo No sabe como montar una bicicleta.
❑ Marque aqui si usted esta interesado en ser voluntario para el programa e incluir su informacion de contacto a continuacion:
Contacto recomendado de voluntariado Telefono Correo electronico
Please sign this form and return to your child's teacher
SafeRoutes
-m Tigard Safe Routes to School
TIGARD E
Release and Consent Form
Dear Parents/Guardian,
Your child has been given the opportunity to participate in the Pedestrian&Scooter Safety Education Program at your school.The
Program is an award-winning, comprehensive curriculum offered by The Tigard-Tualatin School District in partnership with the
City of Tigard Safe Routes to School Program that will teach traffic safety through classroom activities and skills practice on the
scooter.Students will learn skills such as helmet use,hand signals,traffic signs,and maneuvering through intersections and out of
driveways. The Pedestrian&Scooter Safety Education Program will be presented on the school grounds and may also incorporate
travel on surrounding community streets,led by The City of Tigard's Safe Routes to School Coordinator,teaching staff,and school
volunteers.Participants must agree to follow the rules set out in class,on school grounds,and on any rides that occur off campus in
order to stay as safe as possible.
The purpose of the Pedestrian& Scooter Safety Program is to teach safety and skills in an effort to reduce the risk of pedestrian
injuries. However all travel involves the chance of an accident that may result in serious injury or death.The City of Tigard,The
Tigard-Tualatin School District,volunteers,participants,and family helpers cannot eliminate the chance that a participant may be
injured in spite of taking every effort to be safe.Participating families must assume any and all risks and hazards associated with this
program by signing a release and waiver of rights contained below in exchange for being allowed to participate
All participants must have this consent and release form signed by a parent or legal guardian.The following conditions apply:
1. All participants will be taking part in physical activity, mainly riding a scooter. Individuals in average health will be able to
comfortably participate;it shall be each individual's responsibility to be sure they are in a healthy condition.
2. Scooter riding will occur both on the school grounds and on-streets, therefore, all activities are potentially dangerous.
Participants must adhere to the rules set out in class in order to assume responsibility for their risk.
3. Neither the Tigard-Tualatin schools nor the City of Tigard will assume legal liability for any program participants.Participants
must possess their own.
4. If my child is taking the course using his/her own scooter and/or helmet I agree to inspect the scooter and/or helmet prior to the
course to ensure these items are safe for my child's use. I understand that neither the City of Tigard nor The Tigard-Tualatin
School District can inspect the scooter or helmet for safety and that I must do so. I specifically understand that helmets are
considered unsafe if they have been worn in any crash,no matter how slight,or dropped from a height of more than three feet
onto any hard surface or are over 5 years old. I understand that this is the case even if the helmet shows no visible signs of
damage.Scooters and helmets are provided as part of this program.
(parent or guardian's name),give my
consent for (student's name)to participate in the
Pedestrian&Scooter Safety Program.
I hereby release and hold harmless the City of Tigard and The Tigard-Tualatin School District and any of their agents,employees and
volunteers,and any other program participants from any and all liability or responsibility,causes of action,claims,demands,and damages
of every kind,for negligence,gross negligence,strict liability,or any other kind of claim which may arise out of my participation in the
Pedestrian&Scooter Safety Program.I agree that this release shall be binding on me and any legal representative,heirs,and assigns. I
have read this release and am familiar with its contents.
SafeRoutes
-• Tigard Safe Routes to School
l! IGARD El
•
Parent/Legal guardian signature Date
Additionally,photos/videos are taken during class to document and promote our Safe Routes to School Program so in signing this release
you are agreeing to allow your child to be photographed/video-recorded.No personal information will be published with photo/video;
the photographer owns the copyright for photos/videos. Your signature waives any claims you may have based on any usage of
photos/videos or works derived there from.
UCheck here if you DO NOT agree to allow your child to be photographed/video-recorded during Pedestrian&Scooter Safety
Education classes.
❑ Check here if your child DOES NOT know how to ride a scooter.
LICheck here if you are interested in volunteering for the program and include your contact information below:
Volunteer preferred contact phone email
Por favor firmar y regresar a la maestra n� • SafeRoutes
-m . Tigard Safe Routes to School
O. TIGARD
Comunicado y formulario de consentimiento
Estimados padres/guardianes,
Su hijo se ha dado la oportunidad de participar en el programa de Educacion de Seguridad de Peatones y Patinetes en su escuela.El
programa es un galardonado y comprensivo plan de estudios ofrecido por el Distrito Escolar Tigard-Tualatin en colaboracion con el
programa de Rutas Seguras a la Escuela de la ciudad de Tigard que se enfoca en la ensenanza de seguridad vial a traves de las
actividades del aula y la practica de habilidades en el patinete.Los estudiantes aprenderan habilidades como el use de cascos,senales
de mano,senales de trafico y maniobras a traves de intersecciones y de caminos de acceso.El entrenamiento del programa de
Educacion de Seguridad de Peatones y Patinetes sera presentado en la escuela y quizas alrededor en las calles de la comunidad,
dirigido por el Coordinador de Rutas Seguras de Tigard,docentes de la escuela,y voluntarios de la escuela.Los participantes deben
aceptar seguir las normas establecidas en la clase,en la escuela y en cualquier paseo que occurs en los alrededores de la escuela para
estar tan seguro como sea posible.
El proposito del programa de seguridad de peatones y patinetes es ensenar habilidades y seguridad en un esfuerzo por reducir el
riesgo de lesiones de patinete.Sin embargo todo viaje implica la posibilidad de un accidente que puede resultar en lesiones graves o
la muerte.La ciudad de Tigard,el Distrito Escolar Tigard-Tualatin,voluntarios,participantes y ayudantes familiares no pueden
eliminar la posibilidad de que un participante puede ser heridos a pesar de tomar todo lo posible para estar a salvo.Las familias
deben asumir todos los riesgos y peligros asociados con este programa mediante la firma de una liberacion y renuncia de derechos
que figuran a continuacion a cambio de ser permitido a participar.
Todos los participantes deben contar con este consentimiento y liberar el formulario firmado por un padre o tutor legal.Se aplican
las siguientes condiciones:
1.Todos los participantes participaran en la actividad fisica,principalmente andar en patinete.Individuos en promedio salud podran
participar comodamente;sera responsabilidad de cada individuo para asegurarse que esten en una condicion saludable.
2.Patinete caballo tendra lugar tanto en la escuela y las calles,por lo tanto,todas las actividades son potencialmente peligrosas.Los
participantes deben cumplir con las normas establecidas en clase con el fin de asumir la responsabilidad de su riesgo.
3.Ni la Tigard-Tualatin escuelas ni la ciudad de Tigard asumira responsabilidad legal para los participantes del programa.Los
participantes deben poseer su propia.
4. Uso de si mi hijo esta tomando el curso utilizando su propia patinete o casco,que estoy de acuerdo para inspeccionar el patinete o
casco antes del curso para que estos elementos son seguros para mi hijo.Entiendo que el Distrito Escolar Tigard-Tualatin de ni
ciudad de Tigard puede inspeccionar el patinete o el casco de seguridad y que debo hacerlo.Especificamente,entiendo que
cascos se consideran inseguros si han sido usados en cualquier accidente,no importa como leves o caidas desde una ahura de
mas de tres pies sobre cualquier superficie dura o mas de 5 anos.Entiendo que este es el caso incluso si el casco no muestra
senas visibles de dano.Patinetes y cascos se proporcionan como parte de este programa.
5.Como recordatorio,TODOS los estudiantes y el personal usaran mascaras y mantendran las pautas de distanciamiento social
mientras participan en el curso.Si tiene alguna pregunta,llame a la oficina de Metzger al:(503)431-4600.
SOBRE
Yo (Nombre del padre o tutor),doy mi
consentimiento para (nombre del estudiante)para
participar en el programa de seguridad de peatones y patinetes.
Por la presente liberar y eximir de la ciudad de Tigard y el el Distrito Escolar Tigard-Tualatin y cualquiera de sus agentes,empleados y
voluntarios y cualquier otros participantes en el programa de toda y cualquier responsabilidad o responsabilidad,causas de accion,
reclamaciones,demandas,y bruto de danos y perjuicios de toda clase,por negligencia,negligencia,responsabilidad estricta o cualquier
otro tipo de reclamacion que surja de mi participacion en el programa de seguridad de peatones y patinetes.Estoy de acuerdo que esta
version sera vinculante para mi y cualquier representante legal,herederos y asigna.He leido esta version y estoy familiarizado con su
contenido.
SafeRoutes
-• Tigard Safe Routes to School
l! IGARD•
E
Firma de Padre/Tutor Legal Fecha
Ademas,fotos y videos son tomadas durante la clase para documentar y promover nuestras rutas seguras a la escuela programa para
firmar este comunicado esta aceptando permitir que su hijo sea fotografiado/video-grabado.Ninguna informacion personal sera
publicada con foto/video;el fotografo es propietaria de los derechos de autor de fotos y videos.Su firma renuncia a cualquier
reclamacion que usted puede han basado en cualquier use de fotos y videos o derivada.
❑ Marque aqui si usted No esta de acuerdo permitir que su hijo sea fotografiado/video-grabado durante las clases de Educacion de
seguridad de peatones y patinetes.
UMarque aqui si su hijo No sabe como montar un patinete.
❑ Marque aqui si usted esta interesado en ser voluntario para el programa e incluir su informacion de contacto a continuacion:
Contacto recomendado de voluntariado Telefono Correo electronico