Permission for students to walk home unaccompanied (Y3-Y6)

Permission for students to walk home unaccompanied (Y3-Y6)
Student's Name*

First NameLast Name
Class:*
My child has permission to travel to and/or from school unaccompanied*

YesNo
My child has permission to leave ECAs unaccompanied*

YesNo
Permissions due to severe weather*

I give permission for my child to leave school unaccompanied when the red or amber rainstorm warning is in place at the end of the school day and accept the school's assessment of the local weather conditions.An adult will come and collect my child from school if the red or amber rainstorm warning is in place at the end of the school day.
Parent's name*

First NameLast Name
Email*
example@example.com
Signature

Clear
Date*

MonthDayYear
Date
Should be Empty: