Application Open Lunch Privileges

STUDENT NAME: _________________________________________ DATE: _________________

Open Lunch Policy:

For students to be issued lunch privileges and be allowed to leave campus, they may not be on academic probation and a parent must sign and return this open lunch privileges form.  These students may sign out for lunch for a period of no more than one half hour between 11:30 and 1:00.  If at any time, students are not making satisfactory progress and turning in work each week, their lunch privileges will be revoked.

Students wishing to leave campus for lunch must first check with their Learning Manager to ensure that they are not on academic probation.  Academic probation can occur when a student does not complete course work in a timely manner.  From time to time, it may become necessary for a student’s progress status to be changed during a term.

Parents should understand that by signing the open lunch privileges form, they are allowing their students to leave campus and not be supervised under the authority of school personnel. If a student leaves for lunch and does not return, they are considered signed out for the day. We strongly suggest that parents/guardians discuss expectations with the student before signing this open lunch privileges form.

 

Turn this application form into your Learning Manager for approval. Please note if all expectations outlined in the student handbook are not being met this privileges will be revoked.

I know and understand that my student has obtained the privilege to leave Wolf Creek campus for lunch, between 11:30 am and 1:00 pm, for a period of no longer than 30 minutes.  Students not returning to campus in within the 30 minute timeline  will loose lunch privileges.  The student must sign out and back into campus with their Learning Manager and at the front desk.

I have discussed issues of safety and responsibility with my student in regards to this privilege.  I hereby give my permission, for my student to leave campus for lunch.  I assume all responsibility for my student when they leave school property; as I understand that school personnel will no longer be monitoring my student.

I understand that it is my student’s responsibility to take all necessary safety precautions and return to school on time from lunch.  If there are any issues that arise with my student leaving the building, at any time, I understand that these privileges can and will be taken away.

 

Parent/guardian Signature:     _____________________________________________ Date: ___________

 

Student Signature: __________________________________________________ Date: ______________

 

Wolf Creek Admin Signature: ____________________________________________ Date: ______________