Royalton-Hartland High School
Late Arrival/ Early Release Request Form
SENIORS ONLY
Please complete the following request information and return to the High School Counseling Office for approval.
As per building procedures, students who are seniors may come late to, or be released early from school. Each student must comply with the minimum requirements listed below:
**At any time the student is not adhering to the above requirements, their privileges may be revoked at the discretion of administration.
Student Signature: _______________________________________ Date: _____________
Parent Signature: ________________________________________ Date: _____________
Counselor Review:
My Signature verifies that I have reviewed this student’s record; this student meets the requirements and has earned this privilege.
Counselor Signature: ______________________________________ Date: _____________
CC: Attendance, Student File