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****
Required
QUESTIONS/COMMENTS
*We will respond to you via email
Your answer
E-MAIL ADDRESS WHERE WE CAN REACH YOU
Your answer
IF YOU ARE LEAVING RIGHT AWAY, DO NOT LEAVE WITHOUT YOUR EARLY DISMISSAL SHEET OR YOUR ATTENDANCE WILL BE COUNTED AS UNEXCUSED *
Required
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