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William Ford C. of E.
Junior School

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Consent to walk home alone

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Pupil Name* Class* Parent Name*

Please tick the following*I confirm that I have parental responsibility for the above named pupil

Please tick the following*I consent to the above named pupil being released by school staff at the end of the school day to walk home without adult supervision.

Signed* Date*

In this section

Special Circumstances request form
Current Pupil Update Form
Absent Parent Form
Consent to walk home alone
General Consent Form
Use of Emergency Salbutamol Inhaler

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