Permission to Ride for Minors 17 and Younger

My child has permission to ride alone on Open Road Tours for the date(s) and time(s) listed below.

Name of Passenger: ____________________________________ Age:___________ Date of Birth:________

Date (or Date Range) of Travel(s):_____________________ Shuttle Time:________

Airline & Departure Time (if applicable) or Drop-Off Location:_________________

Date (or Date Range) of Return(s):_________________ Shuttle Time:____________

Airline & Arrival Time (if applicable) or Pickup Location:______________________

ALL SHUTTLE GUESTS AT SKY HARBOR MUST CHECK IN WITH THE ARIZONA CITY TO CITY TRANSPORTATION DESK IN BAGGAGE CLAIM. Guests departing from Flagstaff need to meet the Open Road driver at our van at the AMTRAK Station parking lot 15 minutes prior to departure.

Name of Parent or Guardian: ______________________________________________

Contact Telephone Number(s): ____________________________________________

Signature of Parent of Guardian: ____________________________________________

Names of Adults who have permission to pick up child at their destination:_____________________________________________________________

Contact Telephone Number(s) for adult picking up minor: ____________________________________________

PARENTS: If someone is picking up your child from one of our shuttles, please emphasize that the person be on time for pickup and have photo ID ready to show our driver. We ask for your cooperation for the protection of our passenger – your child.

Disclaimer: Parent or Legal Guardian does hereby covenant and agree to release and hold harmless Creative Travel Management, dba Open Road Tours & Transportation from and against any and all liability, loss, damages, claims, or actions (including costs and attorneys fees) for bodily injury and/or property damage, to the extent permissible by law, arising out of transportation services provided by Creative Travel Management, dba Open Road Tours & Transportation. PLEASE INITIAL: ________