Walker Consent Form 2020 - 2021
Please fill out the following information if your child will walk home this school year.
Please note that all students who walk will be dismissed on SE 147th Place only for safety reasons.
* Required
Email address
*
Your email
Your Name
*
Your answer
Home Phone Number
*
Your answer
Cell Phone Number
*
Your answer
Student's Name
*
Your answer
Please enter your child's grade:
*
Pre-K
Kindergarten
1st
2nd
3rd
4th
5th
Homeroom Teacher
*
Your answer
I give consent for my child to walk to a destination after school that is off campus. I understand that the school is not responsible for my child after they leave the school campus.
*
Yes
No
Required
My typed name represents my signature for consent.
*
Your answer
*
MM
/
DD
/
YYYY
Send me a copy of my responses.
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