Walk Home Alone Consent

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Please complete this form to give consent for your child in Year 5 or Year 6 to walk home alone from school.

Email *

Child's Full Name

Which Year 5 or 6 class does your child attend? *

Only children from Year 5 or 6 are able to walk home alone

I give permission for my child to: *

Walk home alone at the end of the normal school day 15:15

Walk home alone after an Extra Curricular Club

Walk home alone after After School Club

Required

I have explained to my child that if I do not meet them as arranged they will return to school for assistance *

Yes

From what date will your child be able to walk home alone? *

YYYY

Parent/Carer Full Name *

A copy of your responses will be emailed to the address you provided.

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