School Premises Entry Permission Form
Request and record permission for a visitor or non-student to enter school premises. Please complete all fields accurately.
Visitor Full Name
*
First Name
Last Name
Visitor Role/Relation to School
*
Please Select
Parent/Guardian
Contractor
Vendor
Guest Speaker
Government Official
Other
Contact Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Email Address
*
example@example.com
Reason for Entry
*
Intended Date of Entry
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Intended Arrival Time
*
Hour Minutes
AM
PM
AM/PM Option
Intended Departure Time
*
Hour Minutes
AM
PM
AM/PM Option
Person to Visit / Department
*
I confirm that I agree to follow all school rules and will check in at reception upon arrival.
*
I agree
Submit Entry Request
Should be Empty: