4th Second

LXCL:Estamos aquí para ayudarte a conectarte con recursos, oportunidades y contigo mismo. Completar este formulario no garantiza que serás transportado regularmente. En cambio, se decidirá caso por caso debido a los niveles de personal,

Recibir Apoyo de Transporte

LXCL:We are here to help and assist in connecting you to resources, opportunities, and yourself. Completing this form does not guarantee you will be shuttled on a regular basis. Instead, it will be decided on a case by case basis due to staffing levels.

Receive Transporation Support

La siguiente informaci&oacute;n personal y de contacto proporcionada otorgar&aacute; permiso al personal de 4th Second para transportar a los j&oacute;venes en veh&iacute;culos personales y de la empresa bajo los siguientes t&eacute;rminos y condiciones:&nbsp;&nbsp; &nbsp; &nbsp; &nbsp; 1. &nbsp; Prop&oacute;sito del transporte: Eventos, actividades, excursiones, emergencias, transportes necesarios que surjan.&nbsp;&nbsp; &nbsp; &nbsp; &nbsp; 2. &nbsp; Informaci&oacute;n del conductor:&nbsp; &nbsp; &nbsp; &nbsp; &bull; &nbsp; Reconozco que el personal de 4th Second tiene una licencia de conducir v&aacute;lida y actual, cobertura activa de la p&oacute;liza de auto y ha pasado los controles de antecedentes necesarios seg&uacute;n la pol&iacute;tica de la empresa.&nbsp; &nbsp; &nbsp; &nbsp; 3. &nbsp; Supervisi&oacute;n:&nbsp; &nbsp; &nbsp; &nbsp; &bull; &nbsp; Entiendo que se proporcionar&aacute; supervisi&oacute;n adecuada durante el transporte acompa&ntilde;ado por un miembro del personal de 4th Second.&nbsp;&nbsp; &nbsp; &nbsp; &nbsp; 4. &nbsp; Contacto de emergencia:&nbsp; &nbsp; &nbsp; &nbsp; &bull; &nbsp;Autorizo al personal de 4th Second a buscar atenci&oacute;n m&eacute;dica para mi hijo en caso de emergencia. La informaci&oacute;n de contacto de emergencia proporcionada es actual y precisa.&nbsp; &nbsp; &nbsp; &nbsp; 5. &nbsp; Cumplimiento de las pol&iacute;ticas:&nbsp;&nbsp; &nbsp; &nbsp; &nbsp; &bull; &nbsp; Reconozco que el personal de 4th Second y la empresa se adherir&aacute;n a las pol&iacute;ticas establecidas con respecto al transporte de j&oacute;venes, incluyendo medidas de seguridad y conducta.&nbsp; &nbsp; &nbsp; &nbsp; 6. &nbsp; Comunicaci&oacute;n:&nbsp; &nbsp; &nbsp; &nbsp; &bull; &nbsp; Acepto ser informado previamente de cualquier disposici&oacute;n de transporte, incluidos los horarios de recogida y entrega, y cualquier cambio en el cronograma.&nbsp; &nbsp; &nbsp; &nbsp; 7. &nbsp; Actividades prohibidas:&nbsp; &nbsp; &nbsp; &nbsp; &bull; &nbsp;Entiendo que fumar, consumir alcohol y el uso de sustancias ilegales est&aacute;n estrictamente prohibidos durante el transporte de j&oacute;venes.&nbsp; &nbsp; &nbsp; &nbsp; 8. &nbsp; Renuncia de responsabilidad:&nbsp; &nbsp; &nbsp; &nbsp; &bull; &nbsp;Libero al personal de 4th Second y a la empresa de cualquier responsabilidad derivada de incidentes relacionados con el transporte, excepto aquellos que resulten de negligencia grave o conducta intencional.&nbsp; &nbsp; &nbsp; &nbsp; 9. &nbsp; Duraci&oacute;n de la autorizaci&oacute;n:&nbsp; &nbsp; &nbsp; &nbsp; &bull; &nbsp;Esta autorizaci&oacute;n es v&aacute;lida durante el per&iacute;odo de transporte seg&uacute;n sea necesario.&nbsp;&nbsp; &nbsp; &nbsp; &nbsp; 10. Revocaci&oacute;n de la autorizaci&oacute;n:&nbsp; &nbsp; &nbsp; &nbsp; &bull; Reservo el derecho de revocar esta autorizaci&oacute;n en cualquier momento mediante aviso por escrito a Richard Fisher a richard@4thsecond.org.&nbsp; Yo, el abajo firmante, afirmo que he le&iacute;do y entendido los t&eacute;rminos de este Acuerdo de Autorizaci&oacute;n de Transporte de J&oacute;venes y consiento voluntariamente al transporte de mi hijo por parte del personal de 4th Second en veh&iacute;culos personales y de la empresa.

&iexcl;Hola Nombre, Gracias por informarnos c&oacute;mo podemos apoyar sus necesidades de transporte. Nos pondremos en contacto con m&aacute;s informaci&oacute;n para confirmar el apoyo que podemos brindar.&nbsp;

La siguiente información personal y de contacto proporcionada otorgará permiso al personal de 4th Second para transportar a los jóvenes en vehículos personales y de la empresa bajo los siguientes términos y condiciones:         1.   Propósito del transporte: Eventos, actividades, excursiones, emergencias, transportes necesarios que surjan.         2.   Información del conductor:        •   Reconozco que el personal de 4th Second tiene una licencia de conducir válida y actual, cobertura activa de la póliza de auto y ha pasado los controles de antecedentes necesarios según la política de la empresa.        3.   Supervisión:        •   Entiendo que se proporcionará supervisión adecuada durante el transporte acompañado por un miembro del personal de 4th Second.         4.   Contacto de emergencia:        •  Autorizo al personal de 4th Second a buscar atención médica para mi hijo en caso de emergencia. La información de contacto de emergencia proporcionada es actual y precisa.        5.   Cumplimiento de las políticas:         •   Reconozco que el personal de 4th Second y la empresa se adherirán a las políticas establecidas con respecto al transporte de jóvenes, incluyendo medidas de seguridad y conducta.        6.   Comunicación:        •   Acepto ser informado previamente de cualquier disposición de transporte, incluidos los horarios de recogida y entrega, y cualquier cambio en el cronograma.        7.   Actividades prohibidas:        •  Entiendo que fumar, consumir alcohol y el uso de sustancias ilegales están estrictamente prohibidos durante el transporte de jóvenes.        8.   Renuncia de responsabilidad:        •  Libero al personal de 4th Second y a la empresa de cualquier responsabilidad derivada de incidentes relacionados con el transporte, excepto aquellos que resulten de negligencia grave o conducta intencional.        9.   Duración de la autorización:        •  Esta autorización es válida durante el período de transporte según sea necesario.         10. Revocación de la autorización:        • Reservo el derecho de revocar esta autorización en cualquier momento mediante aviso por escrito a Richard Fisher a richard@4thsecond.org.  Yo, el abajo firmante, afirmo que he leído y entendido los términos de este Acuerdo de Autorización de Transporte de Jóvenes y consiento voluntariamente al transporte de mi hijo por parte del personal de 4th Second en vehículos personales y de la empresa.

Solicitud de Soporte de Transporte

The following personal and contact information provided will grant permission to 4th Second staff to transport the youth in both personal and company vehicles under the following terms and conditions:&nbsp;&nbsp; &nbsp; &nbsp; &nbsp; 1. &nbsp;Transportation Purpose: Events, activities, field trips, emergencies, necessary transportations that arise.&nbsp;&nbsp; &nbsp; &nbsp; &nbsp; 2. &nbsp;Driver Information:&nbsp; &nbsp; &nbsp; &nbsp; &bull; &nbsp;I acknowledge that 4th Second staff has a valid and current driver&rsquo;s license, active auto policy coverage, and has undergone the necessary background checks as per company policy.&nbsp; &nbsp; &nbsp; &nbsp; 3. &nbsp;Supervision:&nbsp; &nbsp; &nbsp; &nbsp; &bull; &nbsp; I understand that adequate supervision will be provided during transportation accompanied by a 4th Second staff.&nbsp;&nbsp; &nbsp; &nbsp; &nbsp; 4. &nbsp;Emergency Contact:&nbsp; &nbsp; &nbsp; &nbsp; &bull; &nbsp;I authorize 4th Second staff to seek medical attention for my child in case of emergency. The emergency contact information provided is current and accurate.&nbsp; &nbsp; &nbsp; &nbsp; 5. &nbsp;Compliance with Policies:&nbsp;&nbsp; &nbsp; &nbsp; &nbsp; &bull; &nbsp; I acknowledge that 4th Second staff and the company will adhere to established policies regarding youth transportation, including safety measures and conduct.&nbsp; &nbsp; &nbsp; &nbsp; 6. &nbsp;Communication:&nbsp; &nbsp; &nbsp; &nbsp; &bull; &nbsp; I agree to be informed in advance of any transportation arrangements, including pick-up and drop-off times, and any changes to the schedule.&nbsp; &nbsp; &nbsp; &nbsp; 7. &nbsp;Prohibited Activities:&nbsp; &nbsp; &nbsp; &nbsp; &bull; &nbsp;I understand that smoking, alcohol consumption, and the use of illegal substances are strictly prohibited during youth transportation.&nbsp; &nbsp; &nbsp; &nbsp; 8. &nbsp;Liability Waiver:&nbsp; &nbsp; &nbsp; &nbsp; &bull; &nbsp;I release 4th Second staff and the company from any liability arising from transportation-related incidents, except those resulting from gross negligence or intentional misconduct.&nbsp; &nbsp; &nbsp; &nbsp; 9. &nbsp;Duration of Authorization:&nbsp; &nbsp; &nbsp; &nbsp; &bull; &nbsp;This authorization is valid for the period of transportation as needed.&nbsp;&nbsp; &nbsp; &nbsp; &nbsp; 10. Revocation of Authorization:&nbsp; &nbsp; &nbsp; &nbsp; &bull; &nbsp;I reserve the right to revoke this authorization at any time by providing written notice to Richard Fisher at richard@4thsecond.org.&nbsp; I, the undersigned, affirm that I have read and understood the terms of this Youth Transportation Authorization Agreement and voluntarily consent to the transportation of my child by 4th Second staff in both personal and company vehicles.

Hi <span contenteditable="false" data-custom-variable="{{firstname}}" fr-original-class="fr-deletable styled-tag-chip" fr-original-style="" style="color: rgb(42, 42, 196); overflow-wrap: anywhere; user-select: none; background-color: rgb(248, 248, 255); border: 1px solid rgb(191, 191, 255); border-radius: 4px; margin: 0px; padding: 1px 8px; font-size: 11px; display: inline-block; box-sizing: inherit;">First name, Thank you for letting us know how we can support your transportation needs. We will follow up with more information to confirm the support we can provide. Best Regards,4th Second Youth &amp; Care Team.youthteam@4thsecond.org

The following personal and contact information provided will grant permission to 4th Second staff to transport the youth in both personal and company vehicles under the following terms and conditions:         1.  Transportation Purpose: Events, activities, field trips, emergencies, necessary transportations that arise.         2.  Driver Information:        •  I acknowledge that 4th Second staff has a valid and current driver’s license, active auto policy coverage, and has undergone the necessary background checks as per company policy.        3.  Supervision:        •   I understand that adequate supervision will be provided during transportation accompanied by a 4th Second staff.         4.  Emergency Contact:        •  I authorize 4th Second staff to seek medical attention for my child in case of emergency. The emergency contact information provided is current and accurate.        5.  Compliance with Policies:         •   I acknowledge that 4th Second staff and the company will adhere to established policies regarding youth transportation, including safety measures and conduct.        6.  Communication:        •   I agree to be informed in advance of any transportation arrangements, including pick-up and drop-off times, and any changes to the schedule.        7.  Prohibited Activities:        •  I understand that smoking, alcohol consumption, and the use of illegal substances are strictly prohibited during youth transportation.        8.  Liability Waiver:        •  I release 4th Second staff and the company from any liability arising from transportation-related incidents, except those resulting from gross negligence or intentional misconduct.        9.  Duration of Authorization:        •  This authorization is valid for the period of transportation as needed.         10. Revocation of Authorization:        •  I reserve the right to revoke this authorization at any time by providing written notice to Richard Fisher at richard@4thsecond.org.  I, the undersigned, affirm that I have read and understood the terms of this Youth Transportation Authorization Agreement and voluntarily consent to the transportation of my child by 4th Second staff in both personal and company vehicles.

ES

4th Second

Transportation Support Request

Receive Transporation Support

Free