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Permission for Y5/6 pupil to come to school/be collected, on their own.
To be completed by Y5/6 parents/carers
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* Indicates required question
My child's full name
*
Your answer
My child's year group
*
Year 5
Year 6
If you would like to stipulate which days your child will go home alone, please complete this question and mark the days/journeys that apply. Alternatively go to the next question.
Go home alone on Mondays
Go home alone on Tuesdays
Go home alone on Wednesdays
Go home alone on Thursdays
Go home alone on Fridays
I give permission for my child to come to school and go home alone on any day or every day of the week:
My child has permission to go home alone on any/every weekday
Do you wish your child to have a mobile phone with them whilst coming to school/going home alone?
*
Yes
No
Name of person giving permission:
*
Your answer
Relationship to child
*
Your answer
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This form was created inside of St. Margaret Clitherow Catholic Academy Trust.
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