8:030-E2 Child Sex Offender’s Request for Permission to Visit School Property
A child sex offender who is not a parent/guardian of a student enrolled in the District must complete this form in order to seek permission to visit school property whenever students are present. After a decision is made whether to grant or deny permission to visit, a copy will be returned to you. This information will be kept in the Administration offices as well as in the Building Principal’s office where you are seeking permission to visit. Please be specific.
Name (please print): _________________________________
Address/City/Zip: _____________________________________________________
Signature: ____________________________________ Date: ________________
Visit Request
| Date and Time | Location and Purpose |
|
|
____________________________________________________________________
The following is to be completed by District personnel only
_____ Permission Granted _____ Permission Denied
Date: ____________________
Signature (Superintendent/Designee/Board President): ________________________
Visit Supervision:
Time in: ________________
Time Out: ______________
Date: __________________
_________________________________________________________
Signature of Supervisor(Building Principal or other certified employee):
Date Approved: 04/25/2006
