Chequamegon High School Senior Open Campus Lunch Permission Slip

This permission slip outlines the guidelines and eligibility requirements for students participating in the Open Campus Lunch privilege at Chequamegon High School. By signing, both students and parents/guardians acknowledge their understanding and agreement to the requirements, privileges, and responsibilities involved in this program.

Eligibility Requirements:

1. Consent Forms
   Parents/guardians and students must sign and return this permission slip to the high school office.
2. Academic Performance
   Seniors must maintain a minimum grade of "C" in all classes. Eligibility will be reviewed based on the first-quarter report card and monitored throughout the school year at mid-term and quarter intervals.
3. Attendance

• No unexcused absences during the quarter.
• No more than three unexcused tardies per quarter.

4. Behavior

• No disciplinary referrals resulting in recorded consequences.
• Students arriving late to their 5th-hour class after lunch will have their privilege suspended for a period determined by the principal.
• Privileges will be revoked for the remainder of the school year if a student encounters any issues off-campus during lunch.

5. Privilege Revocation
   The Open Campus Lunch privilege may be revoked at any time if a student fails to comply with these rules. In the event of significant issues, the privilege may be discontinued for all students.

6. Check-in and Check-out Process
   Students must exit and re-enter the building through the high school office, leaving their school ID with Mrs. Carl when leaving and collecting it upon return.

Weather Conditions
In the event of severe weather, such as snowfall, the Open Campus Lunch privilege may be canceled for that day.

Implementation Timeline
The Open Campus Lunch privilege will begin on September 8, 2025. Signed permission slips from parents/guardians and students must be returned before participation is allowed.

Disclaimer:
By signing this permission slip, I authorize my child to leave campus during the lunch period. I understand my child may choose to leave campus with other students in vehicles not driven by them, including those who drive, take the bus, are dropped off, or walk. I acknowledge that the school cannot guarantee my child's safety while off-campus, and I assume full responsibility for their actions during this time.

Student’s Name: ___________________________ Grade: _______
Parent/Guardian’s Name: ___________________________
Parent/Guardian’s Phone Number: ___________________________
Student’s Signature: _________________________________________ Date: __________
Parent/Guardian’s Signature: _________________________________ Date: __________

Please return this signed form to the high school office.