Off-Campus Lunch Pass Request
Fall 2024 | Vancouver School of Arts and Academics

JUNIORS & SENIORS may apply for an Off-Campus Lunch Pass, with the approval of their parent/guardian and administration. This privilege may be revoked at any time if the student does not adhere to these requirements for the pass:
* Taking an extended lunch
* Excessive tardies/unexcused absences
* Cell Phone Violations
* Violations of state/district/building policies regarding safe student behavior
* This pass is for the student's assigned lunchtime only
* Failure to maintain academic eligibility (2.75 GPA and no F's)

NOTE: We will be in touch for the next steps on approval. 

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Student First Name *
Student Last Name *
Parent/Guardian First and Last Name *
Confirmation Contact information *
A VSAA staff member will contact Parent/Guardian for confirmation (please list preferred email/phone number for verification)
Parent/Guardian Acknowledgement of Permission for Off-Campus Pass *
Required
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