2019-20 Permission To Release
It is recommended that younger students be supervised by an adult when walking to and from the bus stop or school. Please list all individuals who are able to receive your student. Bus Drivers are only authorized to release Kindergarten, Special needs & Preschool students at their designated stop to a parent or pre-authorized adult, or older sibling to walk home with, otherwise, students will be returned to their school at the end of the route. All adults added to this form are authorized to receive your student. Any adult receiving the student needs to be at the stop at the time school is dismissed. All adults should have photo identification available for the driver at the bus stop.
Student Name *
Your answer
Name of School Registered for the 2019-2020 School Year *
Your answer
Grade for 2019-20 School Year *
Your answer
Parent #1 Name *
Your answer
Parent #1 Phone Number *
Your answer
Parent #2 Name
Your answer
Parent #2 Phone Number
Your answer
Authorized Adult that may receive your student:
Your answer
Authorized Adult Phone Number
Your answer
Relationship:
Your answer
Older Sibling Student May Walk Home With
Your answer
Is your student attending daycare?
Next
Never submit passwords through Google Forms.
This form was created inside of Northshore School District. Report Abuse