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2022-2023 Parent Form: Metal Detector Waiver

Please complete the form below. Required fields marked with an asterisk *

In order to provide the safest learning environment for our students and staff, we require our students to enter the building daily via our "walk-through" metal detectors. Please complete this form if your child has a certain medical condition that could be affected by the "walk-through" metal detectors.

Child's Name:

Answer Required

Date:

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Person completing this form:

Answer Required

Does your child have any medical conditions/restrictions that prevent him/her from walking through our metal detectors?*

Answer Required

yes

If yes, please provide us with some more information regarding this restriction.

Answer Required

*Students who cannot walk through the metal detector (due to medical restrictions) will be screened via a hand-held metal detector (aka "the wand").