Glenbard Township High School District 87
Exhibit – Child Sex Offender’s Request for Permission to Visit School Property
If you are child sex offender, you must complete this form in order to lawfully visit school property
whenever students are present. After a decision is made whether to grant or deny permission to visit,
a copy will be returned to you. This information will be kept in the Administration offices as well as
in the Building Principal’s office where you are seeking permission to visit.
Name (Please print) Address
Signature Today’s Date
School (Visit Location) Date of Visit
Complete the following if you are a parent/guardian of a student attending this school.
I request permission to visit the school for the following reason(s):
may be made with respect to my child regarding special education services.
Complete the following if you are not a parent/guardian of a student who attends the school you are
requesting to visit.
I request permission to visit the school for the following reason(s) (Please be specific):____________
The following is to be completed by District personnel only:
Date Signature (Superintendent, Designee, or Board President)
Visit Supervision (To be completed by the person supervising the child sex offender)
Supervisor’s Name (Please print)_______________________________________________________________
Visitor’s Time In__________________________________ Visitor’s Time Out________________________
Date Supervisor’s Signature
DATED: April 11, 2005
REVISED: December 12, 2005
REVIEWED: March 13, 2006