Temple Sholom Religious School Independent Release Permission 2019-2020
INDEPENDENT RELEASE (“IR”) POLICY

Temple Sholom Religious School holds the safety of its students paramount. For the convenience of parents, with written parent permission and subject to Temple Sholom approval, students in grades 5 and over will be allowed to leave the building independently at 12:05 p.m. after Religious School classes end. If a younger student has a sibling in grade 5 or above, a parent may also give permission for the younger child to leave with the older, subject to Temple Sholom approval. IR students must meet parents/guardians at a pre-determined location and may not walk outside and wait for the parent/guardian to pull up in the car line. Any IR younger siblings will only be allowed to leave with the older sibling; if the older sibling is absent, the younger child will have to wait inside for adult pick-up.

Parents must complete this release form to cover the entire school year and specify which child(ren) it covers. Requests submitted online by close of business Wednesday will be accommodated for the upcoming Sunday. (Requests received after Wednesday will be accommodated for the Sunday at the end of the following week.)

Parents/guardians should discuss with their child(ren) where they are allowed to go after school, the routes they can and cannot take and at what streets they can cross Inner Lake Shore Drive. Please note, if Temple Sholom agrees to independent release, after children leave the Temple Sholom building, Temple Sholom staff including security personnel will not monitor or be responsible for children's safety. Due to high traffic volumes during dismissal, security guards are not able to supervise children that are independently released, which includes crossing Lake Shore Drive. Please consider what is safe for your child(ren) to do on their own before granting permission and determining a meeting place.
Please check the permission you would like to give: *
Required
Please list the off-site location where your child(ren) will meet you (not in car line and not blocking a bus stop on Lake Shore Drive) *
Your answer
CHILD LAST name *
Your answer
CHILD(REN) FIRST name(s) given permission for independent release *
Your answer
Child(ren)'s grade(s) for 2019-2020 school year *
check all that are given permission for independent release
Required
Please provide your initials to indicate your reading and agreement of the IR policy as noted above. *
Your answer
Your FULL name *
Your answer
Your relationship to the child(ren) *
Your answer
Your email address *
Your answer
Submit
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