2021-22 Sanderson High School Off-Campus Lunch Pass Application
Please carefully read the Sanderson High School Lunch Pass Rules document: bit.ly/SHSLunchPass2021

A parent or guardian is required to complete this application. Forms submitted using a student WCPSS email will be result in a delayed approved pending approval from a parent/guardian.

The cost of off-campus lunch passes for the 2021-22 school year is $20. At this time, payments can only be made using Online School Payment: bit.ly/SHSLunchPass21
(Pass applications will not be processed until payment has been made and verified.)

Juniors must have a 3.0 GPA to be eligible to receive a pass. All GPA's for juniors will be verified before the  lunch pass can be picked up.

ALL SANDERSON HIGH SCHOOL RULES AND WCPSS POLICIES APPLY DURING OFF-CAMPUS LUNCH.

Pass Pick-Up
Seniors - at Senior Orientation on August 10 (see school website for details)
Juniors - at 9am-11am Orientation on August 11 (see school website for details)

If students cannot attend these orientation days, passes can be picked up after school begins at the Attendance Office window (near the main office). Students can pick up during their lunch period or after school (no passes will be handed out during morning arrival or between classes.)  

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Email *
Student's Last Name *
Student's First Name *
Student ID# *
Student Grade (21-22 school year) *
Student's Home Address (Street# and Street Name) *
Parent/Guardian's Name *
Parent/Guardian's Phone# *
Parent/Guardian Email *
 Parent/Guardian Acknowledge and Electronic Signature Section
By signing below, you are requesting the following:

I request that my student, named in this form, be permitted to leave the school campus for lunch on his/her own and return to school for the remainder of the school day. In making this request, I assume full responsibility for the safety and welfare of the student while off school property. I also understand that students exercising off-campus lunch privileges are subject to policies and rules of student conduct applicable during the regular school day as adopted by the Board of Education and Sanderson High School.
I acknowledge review of the 2021-22 Off-Campus Lunch Pass Rules document. (bit.ly/SHSLunchPass2021) *
Required
Parent/Guardian Electronic Signature (First and last name required) By typing your name below, you are confirming that you agree to Sanderson High School student off-campus lunch pass rules and regulations. *
Pass applications will not be processed until payment is complete. The off-campus lunch pass cost for the 21-22 school year is $20 per student. At this time, all payments are to be made using Online School Payments: https://bit.ly/21-22LunchPassPayments *
A copy of your responses will be emailed to the address you provided.
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