Request edit access
JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
HRHS Early Dismissal Form
****This Form is for Both Driver's and Non-Driver's*****
If your child is sick, please have them check out by going to the nurse for evaluation.
All early dismissal requests will be verified before a student is released. We will call the number listed in PowerSchool for said verification.
EARLY DISMISSAL FORMS MUST BE COMPLETED A MINIMUM OF ONE HOUR PRIOR TO STUDENT DISMISSAL.
You DO NOT need to complete this form if you, as a parent, are checking your child out. You will come into the school and be asked to provided identification before your child is released from school.
Please do not enter requests more than 3 days in advance.
As a rule, HRHS does not do checkouts after 1:45pm.
Late check-ins and early check-outs are recorded as tardies under the state Student Information System (SIS). Students who have excessive tardies (late check-ins or early check-outs) may be assigned ‘make-up time’ at the discretion of the principal. with consideration to lost educational time as described in section E, Excessive Absences and Tardies. School Board Policy:
https://boardpolicyonline.com/bl/?b=cabarrus#&&hs=142024
* Indicates required question
Email
*
Record my email address with my response
Will the student return to school?
*
Yes
No
Possibly
Name of person requesting check out (parent/guardian)
*
Your answer
Day of check out (this week only)
*
MM
/
DD
/
YYYY
Reason for early dismissal
*
Your answer
Dismissal Time
*
8:00
8:15
8:30
8:45
9:00
9:15
9:30
9:45
10:00
10:15
10:30
10:45
11:00
11:15
11:30
11:45
12:00
12:15
12:30
12:45
1:00
1:15
1:30
1:45
Do you have any additional comments or information you need to share with us regarding check out?
*
Your answer
I understand when I check out, I may be marked absent or tardy for that class period. (Remember, 4 tardies equal an absences.)
*
Yes
Please list a phone number where you can be reached, to verify early dismissal permission. This number must be listed in PowerSchool. (If this number is not listed in PowerSchool, you must come in to update those records)
*
Your answer
Student Last Name
*
Your answer
Student First Name
*
Your answer
Student Drivers/Non-Student Driver's
*
My student is a driver, I would like for them to check themselves out.
My student is not a driver
A copy of your responses will be emailed to .
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of Cabarrus County Schools.
Report Abuse
Forms
