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CHS Dismissal Notification
Please complete this form to notify student management that you child will be dismissed.
Please enter PARENT email below. * Please use the email that you have provided the district for contact information.
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* Indicates required question
Date of dismissal
*
MM
/
DD
/
YYYY
Time of dismissal
*
Time
:
AM
PM
Reason for the dismissal.
*
Your answer
Students name
*
Your answer
Grade
*
9
10
11
12
Parents / Guardians name
*
Your answer
Will the student be driving themselves? * Please note that selecting yes you are giving permission for your child to drive.
*
Yes
No
Name of person who will be picking up student? **Please note that the pickup person must be listed on the contacts in aspen.
*
Your answer
Will a medical note be submitted? Please note that medical/doctor notes must be submitted no longer than 3 days following the absence. **Medical notes can be brought to student management or scanned and sent to chs attendance @
coventryschools.net
*
Yes
No
I attest that the above information is correct and that I fully understand the CHS attendance policy as stated in the student handbook.
*
Yes
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