FFG(EXHIBIT) - STUDENT WELFARE: CHILD ABUSE AND NEGLECT

Acknowledgement of Removal by Legal Authorities

Student's name:

Campus:

Date:

Time:

Officials of ____________________ School District hereby release _________________ (student's name) to the custody of ____________________ (name) of __________________________ (legal entity, e.g., CPS, name of local police or sheriff's department), in accordance with a request from the legal authorities. This release supersedes the responsibility of the District to the student and his or her parents or guardians that would otherwise prevail.

By taking possession of this student, ____________________ (name of person having legal authority), assumes the duty of reasonable care for the safety and welfare of the student.

Signature of principal or designee:

Signature of person taking student into custody:

(The form must be kept on file by the school; however, a copy may be given to the person taking custody of the student.)

Spring ISD

FFG(EXHIBIT)-X

UPDATE 115

DATE ISSUED: 7/23/2020