School Lockdown Entry Permission Request Form
Use this form to request permission to enter the school during a lockdown. All requests will be reviewed by administration and security personnel.
Full Name
*
First Name
Last Name
Contact Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Email Address
*
example@example.com
Role or Relationship to School
*
Please Select
Staff
Faculty
Parent/Guardian
Student
Contractor
Other
Date and Time of Requested Entry
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Hour Minutes
AM
PM
AM/PM Option
Area or Building to Access
*
Reason for Entry
*
Emergency Contact or Supervisor Name
*
Authorization/Approval Notes (For Administrative Use Only)
Requester Signature
*
Submit Request
Submit Request
Should be Empty: