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Off Campus Lunch Form

Permission to leave school property during lunch. Please complete the form below. Required fields marked with an asterisk *

Please confirm:*

Answer required for "Please confirm:"

I have read and reviewed the expectations with my child.

I understand that ONLY 11th & 12th graders are allowed to leave school for lunch. *

Answer required for "I understand that ONLY 11th & 12th graders are allowed to leave school for lunch. "

My child is an 11th grader.

My child is a 12th grader.

Select one:

Answer required for "Select one:"

My child is permitted to leave school during lunch (12:00 PM - 12:45 PM) anytime during School Year 2023-2024.

My child DOES NOT have permission to leave school during lunch (12:00 PM - 12:45 PM) anytime during School Year 2023-2024.

Student Name:*

Answer required for "Student Name:"

Student's Cellphone Number:*

Number Required

Parent Contact Information

First Name*

Answer required for "First Name"

Last Name*

Answer required for "Last Name"

Email 1*

Answer required for "Email 1"

Mobile Phone*

Number Required

Signature*

Signature Required

Confirmation Email

Confirmation Email *

Answer required for "Confirmation Email"