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Out Lunch Consent 2023-24

OUT LUNCH PERMISSION SLIP for 2023-2024 school year

All students will have an opportunity to participate in UA Maker Out to Lunch Program. Participation in the UA Maker Out to Lunch Program requires parental consent AND students must meet required attendance criteria. Please complete this form if you give your student consent to participate in this program.

By signing below, you agree that:

I have read and understand the requirements for participation in UA Maker Out to Lunch Program and give consent for my child to leave the school building for lunch.

Parent/Guardian Name*

Answer Required

Parent/Guardian Email Address*

Answer Required

Parent/Guardian Phone Number*

Answer Required

Signature*

Signature Required

Student: I have read this form and understand that I am to act in a responsible manner; following DOE codes and policies. Failure to do so may result in revisiting whether the student can manage upholding the requirements for “out to lunch” with parent/guardian.

OSIS Number*

Answer Required

Student First Name*

Answer Required

Student Last Name*

Answer Required

Confirmation Email

Confirmation Email *

Email Required