Permission for students to walk home unaccompanied (Y3-Y6)
Student's Name
*
First Name
Last Name
Class:
*
Y3AR
Y3BW
Y3EJ
Y3KT
Y4FT
Y4KJ
Y4LB
Y4SS
Y5CG
Y5RE
Y5SM
Y5TS
Y6DR
Y6HK
Y6LP
My child has permission to travel to and/or from school unaccompanied
*
Yes
No
My child has permission to leave ECAs unaccompanied
*
Yes
No
Permissions due to severe weather
*
I give permission for my child to leave school unaccompanied when the red or amber rainstorm warning is in place at the end of the school day and accept the school's assessment of the local weather conditions.
An adult will come and collect my child from school if the red or amber rainstorm warning is in place at the end of the school day.
Parent's name
*
First Name
Last Name
Email
*
example@example.com
Signature:
Date:
*
-
Day
-
Month
Year
Date Picker Icon
Submit
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