KHS Off-Campus Lunch Application and Permission Form

Seniors (students with at least 18 credits) and Juniors with CTE Practicums (at least 12 credits) qualify for off-campus lunch privileges.

The number of course credits may be found on the student's transcipt and are determined at the start of the school year.
Students must complete online off-campus lunch applications with both student and parent signatures by Friday, August 22, 2025.
All off-campus lunch applications must be approved by the KHS Associate Principal and the CTE Coordinator.
Students who leave for off-campus lunch must exit/enter the campus using the front doors.
Students must show ID prior to leaving campus.
Students with 3 or more discipline referrals will lose their off-campus lunch privileges for the remainder of the year.
Students who have more than 9 absences in any period will lose their off-campus lunch privileges for the remainder of the year.
Students who receive displinary placements (ISS, OSS, DAEP) will lose their off-campus lunch privileges for the remainder of the year.
Students who engage in fighting/mutual combat or assault will lose their off-campus lunch privileges for the remainder of the year.

Excessive tardies after lunch.
Excessive absences after lunch or during the lunch period (5th Period).
Bringing off-campus food back to campus for self or others.
Eating off-campus food in classrooms.
Taking students off campus who do not have off-campus lunch privileges and/or returning ineligible students to campus. (This includes picking up ineligible students across the street from campus.)
Loitering in the student parking lot during lunches.
Causing problems and/or inappropriate behavior at local businesses.
Unsafe driving and/or speeding in the parking lot.
Entering another school's campus.
General violations of the KISD Student Code of Conduct.
Other violations, as determined by KHS Administrators.

FIRST VIOLATION - Loss of Off-Campus Lunch Privileges for 1 Week

SECOND VIOLATION - Loss of Off-Campus Lunch Privileges for 3 Weeks

THIRD VIOLATION - Loss of Off-Campus Lunch Privileges for 9 Weeks

FOURTH VIOLATION - Loss of Off-Campus Lunch Privileges for the Remainder of the Year

Student Name*

First NameLast Name

Student ID Number*

Student Grade*

Number of Credits on Student Transcript (Check Ascender)*

Are you enrolled in a CTE Practicum?*

Which CTE Practicum are you enrolled?*

Student Mobile Phone Number*

Please enter a valid phone number.

Student Home Phone Number*

Please enter a valid phone number.

Do you plan to drive to and from campus?*

Have you completed the KHS 2024-25 Parking Permit Application?*

I certify that I qualify for off-campus lunch privileges because I am either a Senior (with at least 18 credits) or a Junior with a CTE Practicum (with at least 12 credits).*

YES

I understand that I can lose my off-campus lunch privileges for the general violations listed in this application, excessive absences, excessive tardies, excessive discipline referrals, violent acts on campus (fighting/assault), and other disciplinary reasons.*

YES

I agree not to transport students who do not have off-campus lunch privileges to and from the campus.*

YES

I agree not to bring off-campus food items back to campus or eat in KHS classrooms.*

YES

I understand that I only have 30 minutes for lunch, and I will responsibly plan my lunch activities so that I do not accumulate tardies and absences after lunch.*

YES

Student Signature

I have read and agree to the off-campus lunch guidelines in this application.*

YES

I certify that my student meets the qualifications for off-campus lunch privileges.*

YES

I understand that my student can lose his/her off-campus lunch privileges for the general violations listed in this application, excessive absences, excessive tardies, excessive discipline referrals, violent acts on campus (fighting/assault), and other disciplinary reasons.*

YES

I understand that students who leave campus for lunch are responsible for their own actions, and KISD is not responsible for any injuries or accidents that occur off campus.*

YES

I give my student permission to leave campus during lunch and understand that students will be unsupervised when off campus. KISD is not responsible for the safety and well-being of my child when he/she is off campus.*

YES

Parent Name

First NameLast Name

Parent Signature

Off-Campus Lunch Application and Permission Form

Off-Campus Lunch Qualifications and General Guidelines

General Violations of Off-Campus Lunch Privileges

Consequences for General Violations of Off-Campus Lunch Privileges

Student Basic Information

Student Consent and Signature

Parent Consent and Signature