Pick Up Arrangement Forms (inc. Green, Amber cards)

Pick Up Arrangement Forms

AMBER FORM

If you have already given permission for your child to have an amber form, you do not have to complete this form again.
COMPLETE THIS FORM FOR YOUR CHILD TO HAVE AN AMBER CARD – ideal for children meeting parents in different playgrounds

The default arrangement is that children are NOT allowed to leave school by themselves.
Complete and return the form to your child’s class teacher. Copies of this form are available from reception.
Children will be provided with an AMBER card to show they have permission to leave their class teacher, navigate their way around the school site BUT not leave at any of the exit gates.

* Indicates required field

Childs Name *

First

Last

Class *

Parents Name *

First

Last

Email *

Confirmation *

Check this box to confirm that you are parent / carer for this child and you are happy for them to have an amber form

Submit

GREEN FORM

If you have already given permission for your child to leave school by themselves, you do not have to complete this form again.
Ideal for parents who are allowing their children to walk home from school by themselves.

Please provide us with confirmation if you are allowing your child to leave school by themselves.
The default arrangement is that children are NOT allowed to leave school by themselves.
Complete and return the form to your child’s class teacher. Copies of this form are available from reception.
Children will be provided with a GREEN card to show they have permission to leave school by themselves at the end of the school day.

* Indicates required field

Child's Name *

First

Last

Teacher's Name *

First

Last

Class *

Email *

Confirmation *

Check this box to confirm that you wish for your child to have a green card.

Submit

Older Sibling Pick Up Form

Please complete this form if there will be occassions that an older sibling (of school age) is expected to pick up your child from school.
When on the school premises, the sibling must behave sensibly and be respectful of other parents and school staff. They must not use bikes or scooters on the playground and they must not be with a group of friends.

* Indicates required field

Child's Name *

First

Last

Name(s) of sibling who is picking up *

Class *

Teacher's name *

First

Last

Email *

Confirmation *

Check this box to confirm that the older sibling is aware of the school's expectations and will behave appropriately on the school site.

Submit