School Walking Permission Form
Complete this form to authorize a student to walk to or from school or a school-related walking activity.
Student Full Name
*
First Name
Last Name
Student Grade
*
Please Select
Kindergarten
1st Grade
2nd Grade
3rd Grade
4th Grade
5th Grade
6th Grade
7th Grade
8th Grade
Other
Homeroom Teacher Name
*
Parent/Guardian Full Name
*
First Name
Last Name
Parent/Guardian Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Parent/Guardian Email Address
example@example.com
Walking Permission Type
*
To school only
From school only
To and from school
School-related walking activity
Date(s) Permission is Granted
*
Emergency Contact Name
*
Emergency Contact Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Submit
Should be Empty: