Fillable Parental Permission Interactive Form (Weatherford College)

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Parental Permission Interactive Form (Weatherford College)

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The Parental Permission Interactive Form (Weatherford College) form is 1 page long and contains:

  • 1 signature
  • 7 check-boxes
  • 22 other fields

Country of origin: US
File type: PDF

U.S.A. forms for Weatherford College

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Revised 4/3/2018
Weatherford College Upward Bound
PARENTAL PERMISSION
Student’s First Name
Student’s Last Name
Date
My son/daughter has permission to check him/herself out for the following reason (please check all that apply):
Doctor/ Dentist Appointments
Church/Religious Event
College Park Shopping Center
(with prior notification)
(with prior notification)
(walking in groups of three or more)
My son/daughter has permission to leave immediately after weekly dismissal (Thursdays between 4 and 6 PM)
If you do not mark this box, a parent/guardian must sign your student out personally
My son/daughter DOES NOT have permission to check him/herself out.
PERMISSION TO SWIM
My son/daughter HAS my permission to swim (Please mark your student’s swimming experience level)
Strong Swimmer
Weak Swimmer
Cannot Swim
My son/daughter DOES NOT have my permission to swim
PERMISSION TO LEAVE WC CAMPUS WITH THE BELOW INDIVIDUALS ONLY
Please indicate whom your son/daughter has permission to leave the WC campus with, other than Upward Bound
Summer Program Staff. This information must be on file, even if your student has permission to check themselves out.
Anyone who tries to leave campus with your student must show a picture ID. Their identification will be checked
against this form; therefore, please list all names, include yourself, relatives, friends, church personnel, etc.
NAME
RELATIONSHIP TO STUDENT
NAME
RELATIONSHIP TO STUDENT
NAME
RELATIONSHIP TO STUDENT
NAME
RELATIONSHIP TO STUDENT
My student DOES NOT have permission to leave campus with the names listed below for any reason. If your
student leaves with the below person(s), the police will be notified.
NAME
RELATIONSHIP TO STUDENT
NAME
RELATIONSHIP TO STUDENT
NAME
RELATIONSHIP TO STUDENT
Signature of Parent/Guardian
Date
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Parental Permission Interactive Form (Weatherford College)

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Completed 7 October 2020

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