GALA School Walker Release Form:
Student Information:
Student Name: _________________________________
Grade: _________________________________
Homeroom Teacher: _________________________________
Parent/Guardian Information:
Parent/Guardian Name: _________________________________
Contact Number: _________________________________
Email Address: _________________________________
Walker Release Details:
I, the undersigned parent/guardian of the above-named student, hereby give permission for my child to walk home from GALA School. I understand that by granting this permission, I am accepting full responsibility for my child's safety and well-being once they leave school premises.
GALA reserves the right to request that a parent or guardian pick up their student(s) if the student(s) are not following instructions or adhering to safety protocols while walking home. Our priority is to ensure that all students are safe, both on campus and during their commute home. If a student is found not complying with safety guidelines, we will contact you immediately to arrange for a safe pickup.
Release Time:
Authorization and Agreement:
I acknowledge and agree to the following:
GALA School is not responsible for the safety of my child once they leave school premises.
I have discussed safety procedures with my child, including the safest route home and the importance of following traffic rules and staying aware of their surroundings.
This authorization is valid for the entire school year unless I provide written notice to revoke or change it.
Emergency Contact Information:
In case of emergency, please contact:
Name: _________________________________
Relationship to Student: _________________________________
Phone Number: _________________________________
Signature:
By signing below, I confirm that I have read and understood the terms of this Walker Release Form and agree to all the conditions stated.
