2025-26 WALKING | BIKING PERMISSION FORM

STUDENT PROCEDURES FOR BIKE RIDING & WALKING

The safety of our students is top priority at St. Maximilian Kolbe Academy.

To ensure student safety, all Bike Riding & Walking Students must have this permission agreement signed by his/her parent or guardian.

All Bike Riding & Walking Students are dismissed at 2:30pm to line up at Door 8 along with those students riding the bus.

After all Bus Riders are safely aboard the school bus, the St. Max Kolbe Academy Staff Member or Teacher assigned to assist at Door 8 will accompany our Bike Riding and Walking Students safely across E. Rockford Avenue at the corner of S. Second Street.

Parent / Guardian Name

Email Address

Home Phone

Cell Phone

Work Phone

Student Name

By electronically signing this form you are giving permission for your above mentioned child(ren) to be dismissed from St. Maximilian Kolbe Academy by Bike Riding or Walking to their destination.

Sign and date below

signature _{please use your mouse or finger sign above}

STUDENT PROCEDURES FOR BIKE RIDING & WALKING

Parent / Guardian Name

Email Address

Home Phone

Cell Phone

Work Phone

Student Name

Bike Riding and Walking Schedule

Student Name

Bike Riding and Walking Schedule

Student Name

Bike Riding and Walking Schedule

Student Name

Bike Riding and Walking Schedule

Student Name

Bike Riding and Walking Schedule

Sign and date below

Your name

Your email