School of the Future Early Dismissal Request.
Please complete this form if an early dismissal from school is being requested. Any form that is incomplete will not be processed. Please submit this form by 7:30 am on the day of the requested dismissal. All verifying documentation (doctor's note, funeral program) must be turned in with the learner upon their return to school.
Email *
First and Last Name of Learner
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Grade of Learner
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Name of Person Requesting Dismissal and Relationship (for example: Jane Doe, mother).
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Telephone Number of Person Requesting Early Dismissal
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Date for the Early Dismissal
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DD
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YYYY
What time does the learner need to be dismissed?
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Reason for Early Dismissal
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Is the learner allowed to leave on their own?
 *
A copy of your responses will be emailed to .
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