2020-2021 OPES Walker/Bike Rider Waiver Form
All students who would like to walk home from school must have a waiver on file. Please submit one form per child prior to August 28, 2020. Once your child's waiver is complete, he/she will be issued a 2020-2021 walker tag. If you have any questions, please contact the OPES front office at (803) 548-8170.

In the event of inclement weather we communicate with families of walkers/bike riders by sending a text message indicating that we will be using an alternate dismissal plan. Once the text message has been sent, your child must use the alternate mode of transportation chosen on this walker/biker waiver form and noted on the back of the child's walker tag.

Please note: Kindergarten students are not allowed to be a green tag.
Student Information
Student Name (Last, First) *
Homeroom Teacher *
Grade Level *
Please list the address your child will be walking/biking to in the afternoon. *
Walker/Biker Release Options
Please check which statement will apply to your child for the 2020-2021 school year. *
If your child will be walking/biking with sibling or neighbor, please list the other children's name below.
Inclement Weather Policy
In the event of inclement weather we communicate with families of walkers/bike riders by sending a text message indicating that we will be using an alternate dismissal plan. Once the text message has been sent, your child must use the alternate mode of transportation chosen on this walker/biker waiver form and noted on the back of the child's walker tag.
Please select your child’s alternative transportation in the event of inclement weather. *
Parent Signature
As the parent/guardian, I recognize that the school’s responsibility for the safety of my child does not extend beyond school supervised areas during the walk/ride home. Signing below indicates that I understand the walker procedures and chosen an alternative transportation in the event of inclement weather. I also understand my child(ren) could lose their privilege to walk/ride to and/or from school if they are observed walking to or from a parked car. Children and families are asked to refrain from playing outside the school after dismissal - children are asked to go directly home. To ensure student safety, car riders must follow our car rider procedures.

*Should a change need to be made to this form, please complete a new form or get a paper copy from our front office.*
Please sign your name below. (Last name, First Name) *
Submit
Never submit passwords through Google Forms.
This form was created inside of Fort Mill School District. Report Abuse