Upton Junior School - Leaving school unaccompanied permit request


Please spare 5 precious minutes to complete this very important form. The safety of your child is the highest priority for us at Upton Junior School. Because of this, we need to know if your child will leave school at the end of the day unaccompanied by an adult. We sincerely hope there isn't ever an emergency regarding the collection of your child but we feel safety measures should always be in place. Children's safety must and always will remain our highest priority!

One Childhood, One Chance!

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    Cycling unaccompanied to / from school

    If this doesn't apply please go to the next section.
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    Meeting an adult at a designated area outside the school gates

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    Details of person completing this form

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