Authorization

I, the undersigned parent or legal guardian of the above-named child, hereby give permission for authorized Knospe-Lerncenter staff members to:

1. Meet my child at the designated bus stop and escort them on foot to and/or from the Knospe-Lerncenter clinic.
2. Provide physical guidance or protective contact (such as holding hands, gentle redirection, or other appropriate physical assistance) as needed to ensure my child’s safety while walking between the bus stop and the clinic.
3. Supervise my child during this transition period until full handover at the clinic.

Acknowledgment and Assumption of Risk

I understand that staff will take all reasonable precautions to ensure my child’s safety. I acknowledge that walking between the bus stop and the clinic may involve ordinary risks (such as uneven surfaces, traffic, or weather conditions). I consent to Knospe-Lerncenter staff taking appropriate safety measures in these circumstances.

Liability Statement

I acknowledge that while Knospe-Lerncenter staff will exercise due care and supervision, I will not hold Knospe-Lerncenter, its employees, or representatives responsible for unforeseen accidents or incidents that occur despite reasonable precautions.

Health and Emergency Information

If my child has any medical, behavioral, or safety concerns that staff should know about for this transition, I will provide that information below:

In case of emergency, please contact

Consent and Signature

By signing below, I confirm that I have read and understood this authorization and that I consent to the procedures described above.