Riverdale High School Electronic Sign-Out Form

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Riverdale High School Electronic Sign-Out Form

No Sign-out requests AFTER 10AM daily, No Students can be signed BEFORE 10AM

Only Students w/ RHS Parking Permit parked ON CAMPUS will be allowed to leave

Please use this form to request the release of your RHS student. Once submitted, this form will be automatically sent to the attendance department. Please allow thirty minutes for release from the time of submission.

* Only siblings can drive / ride together.

** No telephone or email requests are accepted.

*** Every student will need to fill out a separate form.

Email *

Student ID *

Student Last Name *

Student First Name *

Grade *

Freshman

Sophomore

Junior

Senior

Reason For Dismissal *

*Contact the Clinic if your Child is sick # (239)694-4141 Ext. 277

Doctor's Appointment with Doctor's Note upon return to School.

DMV Appointment with Receipt upon return to School.

School Approved Appointment with Receipt or Note

Parent / Guardian Name *

Phone Number *

Email Address *

Time to be Signed Out *

Time

Please Note:

Parent/Guardian will be contacted by the school to confirm the electronic sign out request. The phone number given must match the parent/guardian information currently on file. If it does not, your child must be signed out in person, with proper identification.
Absent periods will be marked unexcused until an appropriate written excuse is sent to the Attendance Office.

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