PERMIT TO LEAVE SCHOOL 24-25

PERMIT TO LEAVE SCHOOL

ARVIDA MIDDLE SCHOOL
- Remain outside of the building at the Main Entrance.
- This form must be completed AT THE TIME the student is being signed out and NOT prior to arrival at the school.
- Once the form is completed, call the Main Office at 305-385-7144 and provide Student's Name.
- Once authorized, an employee will escort the student to the Main Entrance.
- No student shall be released after 3:20pm
Only those authorized individuals listed on the 2024-2025 Emergency Student Data Form as completed by the registering parent/guardian may sign a student out.

Picture ID must be presented for verification at time of pick up.
TODAY'S DATE*

MonthDayYear
Date
STUDENT ID NUMBER*
STUDENT NAME*

First NameLast Name
GRADE*
NAME OF PERSON PICKING UP STUDENT*

First NameLast Name
RELATION TO STUDENT*
PHONE NUMBER OF PERSON PICKING UP STUDENT*
Please enter a valid phone number.
EMAIL OF PERSON PICKING UP STUDENT*
example@example.com
REASON FOR PICK UP*
At this time, take a clear photo of yourself ("selfie") and upload here.*

Cancelof
Upload a clear photo of your Driver's license*

Cancelof
SIGNATURE*

Clear
AUTHORIZED BY:
To be signed by School Personnel
- Remain outside of the building at the Main Entrance.
- This form must be completed AT THE TIME the student is being signed out and NOT prior to arrival at the school.
- Once the form is completed, call the Main Office at 305-385-7144 and provide Student's Name.
- Once authrorized, an employee will escort the student to the Main Entrance.
- No student shall be released within the final thirty (30) minutes of the school day.
Should be Empty: