GKC(EXHIBIT) - COMMUNITY RELATIONS: VISITORS

SEX OFFENDER VISITATION REQUEST

If you are a registered sex offender, you must seek permission to visit school property by completing this form and submitting it to the Superintendent's office for approval. After a decision is made to grant or deny permission to visit, a copy of the form will be returned to you. This information will be kept in the District administration offices, as well as in the office of the campus you wish to visit.

NOTICE: Until written permission is received, you may not visit District property except under the limited circumstances described in GKC(LOCAL) and (REGULATION).

_____________________________________________________________________Name (please print)Signature

_____________________________________________________________________AddressToday's Date

_____________________________________________________________________Campus or Visit LocationDate of Requested Visit

I request permission to be on school property for the following reasons (please be specific):

__________________________________________________________________________

__________________________________________________________________________

__________________________________________________________________________

__________________________________________________________________________

THIS SECTION TO BE COMPLETED BY DISTRICT PERSONNEL:

? Permission granted

? Permission denied

____________________________________________________Superintendent

_________________________Date

Happy ISD

GKC(EXHIBIT)-X

LDU 2015.01

DATE ISSUED: 5/13/2015