Walking Home Alone Agreement- Year 5 & 6
permission and arrangements for children leaving the school ‘home alone’ at the end of the day must be confirmed in writing or by completing this survey by the parent/carer, the child resides with.

It is school policy that only children in year 5 and year 6 are allowed to walk home on their own, provided that the school and family have no concerns about the child’s ability to keep themselves safe and that the school receives permission in writing from the parent/carer.

Parents should ensure that their child understands road safety, is aware of stranger danger and clearly understands what action to take in case of an emergency. It is advised that children of primary age walking home alone go straight to an agreed residence and do not go home to an unsupervised dwelling.

As part of our continual assessment of our safeguarding procedures we would like to ensure that we have an up to date register of all children who have permission to walk home alone. This is part of the school’s policies for safeguarding children to ensure that they depart safely at the end of the school day.

The school reserves the right to refuse permission for a child to walk home alone depending on the distance and concerns the school may have at that time.
Email address *
Child's Forename: *
Child's Surname: *
Child's Class: *
Required
I give permission for my child to walk home alone after school: *
I will ensure that my child understands the road safety, *
Required
Any additional information:
Parents/Carers name completing this form: *
Relationship to child: *
Contact number of Parents/Carers completing this form: *
Date *
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