SeniorLunchPrivilege

Regulations 2022-2023

Seniors in good standing may be granted the opportunity to travel off-campus during their lunch period, provided a parent/guardian has completed this release prior to commencement of the privilege. Students are expected to conduct themselves appropriately when enjoying this privilege, adhering to the following regulations:

Uphold all school rules and regulations (including the Honor Code) during transit and while off campus.
Leave your student ID card with the security guard when departing and collect it upon your timely return to campus. Failure to return on time will result in a loss of the privilege for a period that may extend to the remainder of the school year.
If a fellow student does not have the privilege, DO NOT transport or accompany them off campus, as it will result in loss of the privilege for yourself for a period up to the remainder of the year.
Food may be brought back to campus to eat in the cafeteria or at the picnic tables, but only for the student who has the privilege. DO NOT bring food for other students.
Follow your parents’ wishes regarding if and when you may transport other students in your vehicle and/or ride with other students in their vehicles.

Student's First Name*

Student's Last Name*

Student Cell*

Area Code Phone Number

Student's School Email*

firstname_lastname@mynbps.org

Day or residential student?*

DayResidential

Parent's First Name*

Parent's Last Name*

Parent's Cell*

Area Code Phone Number

Parent's Email*

Senior Privilege Release

The undersigned parent or legal guardian and senior participant do hereby release, forever discharge and agree to hold harmless North Broward Preparatory School, its affiliates and/or subsidiaries, its directors, employees, and agents thereof from any and all liability, claims, or demands for personal injury, sickness, or death, as well as property damage and expenses of any nature whatsoever which may be incurred by the undersigned and the child-participant that occur while said child is participating in the off-campus Senior Privilege. Furthermore, we (I) on behalf of our (my) child-participant hereby assume all risk of personal injury, sickness, death, damage and expense as a result of participation in this activity.

The undersigned further agrees to hold harmless and indemnify said organization (i.e., North Broward Preparatory School, its affiliates, parents and/or subsidiaries), its directors, employees, and agents, for any liability sustained by said organization as the result of the negligent, willful or intentional acts of said participant, including expenses incurred attendant thereto.

I am the parent or legal guardian of the above minor and have read the above RELEASE AGREEMENT AND HAVE FULLY INFORMED MYSELF OF ITS CONTENTS BEFORE I HAVE SIGNED IT. I hereby consent to the terms of the RELEASE on behalf of the named minor, and give my consent to the participation of the above named minor in aforementioned activity on the terms stated.

Parent/Guardian Signature*

Clear

Parent/Guardian Name signing this form*

First Name Last Name

Student Agreement

I agree to be solely responsible for my own safety and to take every precaution to provide for my own safety and well-being while participating in the off-campus Senior Privilege activity. I further understand that while I am off campus and in transit, I am required to adhere to all school rules and regulations including, but not limited to, the NBPS Honor Code and the Senior Lunch Privilege Regulations, as may be amended from time to time, and published on this form. I further understand that if I do not, I will lose the right to participate in the off-campus Senior Privilege and may face further disciplinary action.

Student Signature*

Clear

Student Name signing this form*

First Name Last Name

Senior Lunch Privilege Release Form

Student Information

Parent Information