EARLY DISMISSALS
Last Name *
Your answer
FIRST NAME *
Your answer
DIVISION NUMBER *
Your answer
ID NUMBER *
Your answer
TIME LEAVING *
Time
:
LUNCH PERIOD *
PERIOD(S) YOU WILL BE MISSING *
Required
CLASSROOM YOU WILL BE IN AT THE TIME OF YOUR EARLY DISMISSAL *
Your answer
WILL YOU BE COMING BACK TO SCHOOL TODAY? *
NAME OF PERSON PICKING YOU UP *
Your answer
PHONE NUMBER FOR THE PERSON PICKING YOU UP *
Your answer
RELATIONSHIP OF CONTACT *
REASON FOR EARLY DISMISSAL *
IMPORTANT *
****STUDENTS CANNOT LEAVE ON THEIR OWN. THEIR EARLY DISMISSAL PASSES CAN BE PICKED UP AT DOOR M**** IF YOU ARE LEAVING RIGHT AWAY, DO NOT LEAVE WITHOUT YOUR EARLY DISMISSAL SHEET OR YOUR ATTENDANCE WILL BE COUNTED AS UNEXCUSED
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