Upper School Permission To Leave Campus Form - The Schilling School For Gifted Children
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1STUDENT LAST NAME
OFF CAMPUS PERMISSION
The Schilling School for Gifted Children
8100 Cornell Road Cincinnati, Ohio 45249
Phone 513-489-8940 Fax 513-489-8941
To clarify and grant parental permission regarding students leaving campus, please
complete the information below. In order for the student to travel off campus, this form
must be on file in the office before a student may leave campus. Students leaving
campus must sign out and back in, using the book in the office, and must verbally notify
the administration that they are leaving campus.
My student
has my permission
to leave campus as indicated below. The student is required to sign out in the office
each day and complete the sign out form in full.
_______
_______
My student has permission to drive. yes
no
My student has permission to drive the following passenger(s) with him/her:
My student has permission to ride as a passenger with the following students
driving:
My student has my permission to walk to/from campus
yes
no
Parent/Guardian Name
Parent/Guardian Signature
Date
2/4/2010
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