Early dismissal request
Early dismissals may be requested up to three (3) days ahead of the day your student will be leaving early. Please fill out all questions completely. You will receive an email copy of your responses, which you may print for your student if you wish. The student does not need a printed form, they may simply tell their teacher that they are signing out and proceed to the office.
Sign in to Google to save your progress. Learn more
Email *
Parent/Guardian Name (first and last) *
Student Name (first and last) *
Date of early dismissal (Please only request dismissals for the next 3 days) *
MM
/
DD
/
YYYY
Time of early dismissal *
Time
:
Reason for early dismissal *
Please select one choice below: *
A copy of your responses will be emailed to the address you provided.
Submit
Clear form
Never submit passwords through Google Forms.
reCAPTCHA
This form was created inside of Curwensville Area School District. Report Abuse