Walk Home Alone Form

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MERIDIAN EDUCATIONAL INSTITUTION INC.

Block 2 Lot 4 Ph4D Golden City Subdivision, City of Santa Rosa, Laguna
0908-430-3287 / (049) 534-3926

Permission for Child to Walk Home Alone

I hereby grant permission for my child, _________________________ to leave the MEI


Campus 3 in order to walk home. I understand that my child will be walking home
unsupervised and it will be my responsibility once the child left the school premises.

List names of your children:


_______________________
_______________________
_______________________

Contact number: ________________________


Date(s) child may walk home: ________________________
Time child may leave the program to walk home: ____________________
_________________________________________ ________________
Parent / Guardian Signature Date Signed

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