Hortons Creek Walker Permission Form            2023-2024
By completing this form, you are giving your child permission to bike/walk to school and/or from Hortons Creek Elementary School for the 2023-2024 school year. Please Note:

*  4th and 5th graders are allowed to walk without an adult.
*  Kindergarten-3rd graders must be accompanied by a 4th or 5th grader or parent.
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Email *
Your Child's First and Last Name *
Your Child's Current Grade Level *
Required
Your Child's Current Address (students must live within the designated school walk-zone 1.5 miles away from school) *
I, Parent/Legal Guardian, request that my child be given permission to walk TO and/or FROM Hortons Creek Elementary School as their regular mode of transportation OR regular mode at times. *
My child will be a walker entering and exiting from... *
My child's walker/biker (carpool tag) number is (if you already have one)
My Child is NOT a 4th or 5th grader , and I am requesting that my child be able to walk with the adult named (first and last) or 4th/5th grader named (first and last) or older sibling named (first and last) below (write n/a if this doesn't apply.) Once school has been dismissed and the child/student named below leaves campus WCPSS is not responsible for that child/student. *
Parent Signature and Acknowledgement - by typing your name below you are effectively providing your signature, indicating that all the information on this form is true and accurate. Once you hit submit, this form will be timestamped and dated. *
Comments (Optional) 
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