K-8th Walker Safety Rules and Permission Form, 2023-2024
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Parent First Name *
Parent Last Name *
Parent Email Address *
Your child(ren) will not be allowed to walk home from school without submission of this signed form.

To ensure the safety of each student, the following rules will be put in place for those students walking home from school:
--Your safety is our primary concern, so please watch, look, and listen while walking home from school.
--Walkers will be dismissed from their classrooms on the first bell at 3:05pm.
--West walkers will walk to the Children's Courtyard, and East walkers will walk to the end of the main sidewalk on the east
side of the property.
--Staff members will meet walkers at both locations and provide further direction.
--Walkers must be ready to leave with the entire group from the Children's Courtyard or the main sidewalk by 3:10pm. If you are
late, you will be escorted to the School Office to notify parents.
--Always walk on the sidewalk. Do not walk in the street, on neighbors' lawns, or cut across neighbors' property.
--Objects such as rocks, snowballs, or trash should not be thrown.
--Food, drink, or cell phones are not allowed until a student is completely off school property.
--Pushing, rudeness, or other inappropriate behavior will not be permitted.
--Students cannot change their dismissal plans without written permission from a parent. A note or email from the parent
concerning any changes must be submitted to the teacher well in advance of dismissal time.
--Students are not allowed to drop off backpacks with a parent in the parking lot and join the walkers.
If a student is not walking on a particular day, he or she will be
dismissed with his or her Homeroom group.
--If one or more of the above walker rules is not followed, disciplinary action will be taken.
--Thank you for being responsible for your own.safety and the safety of others while walking home.
--Please review these rules with your children who will be walkers and electronically sign where indicated. Then submit the form.
Child #1 Name *
Child #1 Homeroom *
Child #1 Walker Frequency (if Occasionally selected, parent must notify HR teacher when child is walking via email or a note sent to school with the child) *
Child #2 Name
Child #2 Homeroom
Child #2 Walker Frequency (if Occasionally selected, parent must notify HR teacher when child is walking via email or a note sent to school with the child)
Clear selection
Child #3 Name
Child #3 Homeroom
Child #3 Walker Frequency (if Occasionally selected, parent must notify HR teacher when child is walking via email or a note sent to school with the child)
Clear selection
Child #4 Name
Child #4 Homeroom
Child #4 Walker Frequency (if Occasionally selected, parent must notify HR teacher when child is walking via email or a note sent to school with the child)
Clear selection
Child #5 Name
Child #5 Homeroom
Child #5 Walker Frequency (if Occasionally selected, parent must notify HR teacher when child is walking via email or a note sent to school with the child)
Clear selection
Please indicate below what direction your child(ren) will be walking. *
If you have any additional comments regarding your child(ren)'s walker status, please provide them below.
PARENT ACKNOWLEDGEMENT AND SIGNATURE:  I/we acknowledge having read and understood all information associated with this walker safety and permission form.  I/we assume responsibility for ensuring the my/our child(ren) know and agree to follow the Walker Safety Rules.  Please type parent(s) name(s) in the space below to verify acceptance of this statement. *
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