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.
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Parent/Guardian Name (first and last)
Student Name (first and last)
Date of early dismissal (Please only request dismissals for the next 3 days)
Time of early dismissal
Reason for early dismissal
Eye Doctor Appointment
Please select one choice below:
My student is aware of the appointment and knows to sign out at the office.
My student does NOT know about this appointment, please call them down to the office.
A copy of your responses will be emailed to the address you provided.
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This form was created inside of Curwensville Area School District.