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5131.3(Y)Helment 4 LIFE Contract, Form

NORTHFIELD BOARD OF EDUCATION FILE CODE: 5131.3

Northfield, New Jersey

 

Form

 

 

HELMETS 4 L.I.F.E. PROGRAM CONTRACT

 

HELMETS 4 L.I.F.E. PROGRAM AND NORTHFIELD COMMUNITY SCHOOL

 

I, (student) and (parent/guardian), agree to and promise the following in exchange for having the privilege of riding a bicycle to the Northfield Community School:

 

A. The student will wear a properly fitted and constructed bicycle helmet every time he or she rides a bicycle;

 

B. The student and parents/guardians will obey the New Jersey Bicycle Helmet Law;

 

C. The student will obey all of the traffic laws of the State of New Jersey and City of Northfield;

 

D. The student will obey all signals, stop signs and crossing guard instructions;

 

E. The student will use proper hand signals and will look in all directions before turning;

 

F. The student will not “dart” out from the side streets, parked cars or in and out of moving traffic;

 

G. If riding at night, the student will wear light clothing and have reflective tape prominently displayed on both the helmet and the bicycle;

 

H. The student will not allow anyone to ride on the bicycle handlebars and/or pegs;

 

I. The student shall assume the responsibility in the care of property the observation of safety rules and the display of courtesy and consideration toward others;

 

J. Both the student and the parents/guardians understand and agree that it is not the responsibility of this school or the Helmets 4 L.I.F.E. Program to make daily inspections or to ensure that a bicycle helmet is worn properly or that it is of the proper quality or construction, or that any students wear it at all times when riding to and from school. The sole responsibility for wearing a proper and properly fitted bicycle helmet is on the student and his or her parents/guardians;

 

K. The parents/guardians or student’s failure to abide by the laws, rules and regulations of the State of New Jersey, City of Northfield and the Northfield Community School regarding the use of a bicycle helmet may result in a loss of the privilege of riding a bicycle to school for a period of time. This potential action is neither the assumption by the Northfield Community School of any duty nor a substitute for parental/guardianship responsibilities or law enforcement functions of the police department.

 

 

__________________________________

Student

Dated: _________________

 

__________________________________

Parent/Guardian

 

 

 

Adopted: January 28, 2002