Early Dismissal Request
Early dismissals are for medical reasons and/or emergencies.
Email address *
Student Name *
Your answer
Student Grade *
Your answer
Early dismissal date *
MM
/
DD
/
YYYY
Time my child needs to be dismissed *
Time
:
Reason for Early Dismissal *
Parent/Guardian Name *
Your answer
Parent Phone Number (*student will not be released until verified by phone) *
Your answer
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