Request edit access
Early Dismissal 

PARENTS/GUARDIAN ONLY! Falsification/forgery of a note, phone call, Google form or email is grounds for disciplinary action.

*If parent/guardian information does not match what we have on file, we will not release the student.

Please submit by 9:00 a.m. the day of the Early Dismissal OR Must give 2 hr. notice, without sufficient notice, we cannot guarantee that your student will be ready for dismissal at the exact time requested.  Advanced notice allows us to minimize classroom disruptions and ensure your student is safely and promptly released.   

This information will be sent directly to the Attendance Office staff, and your child will be issued a pass to leave school at the requested time.

By completing the form, you are certifying that you are the parent/legal guardian of this student and are authorized to submit this information. 

Please note that we do not do early dismissals after 3pm.

*You will be automatically emailed a copy of your responses after you completed this form. No need to call the office and leave a voicemail or verify that it was submitted. Phone call requests will not be accepted for early dismissals.  
Sign in to Google to save your progress. Learn more
Email *
Please provide the best telephone number by which to reach you *
Your FIRST and LAST name? *
What is your relationship to the student? *
You selected "Other" to the question, "What is your relationship to the student?" Please explain. 
PARENTS ONLY! Falsification/forgery of a note, phone call, Google form or email is grounds for disciplinary action such as Saturday School.
*
Next
Clear form
Never submit passwords through Google Forms.
This form was created inside of Folsom Cordova Unified School District.

Does this form look suspicious? Report