Walking Home After Clubs

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This form is to be completed for Year 5 & 6 children who have permission to walk home after school alone and is to give additional permission to walk home after clubs alone.

I give permission for my child (as named below - please provide forename and surname) to walk home from school after a school club or extra curricular activity for the academic year 2025/2026 *

I confirm that I will make appropriate arrangements to ensure they remain safe when doing so *

True

False

Required

I agree that from the end of October half term to the end of February half term, my child will be collected by an adult, due to the lack of daylight *

Yes

Signed by Parent / Carer *

YYYY

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