Early Dismissal Request / Solicitud de Salida Temprana

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Email *

Student's Last Name / Apellido del estudiante *

Student's First Name / Nombre del estudiante *

Student's Grade Level / Nivel de grado del estudiante *

Grade 9

Grade 10

Grade 11

Grade 12

Grade 12+

Required

Student's UID# or Date of Birth (MM/DD/YYYY) / Número de UID del estudiante o fecha de nacimiento (MM/DD/AAAA) *

Date requesting? /Solicitando fecha?

Community Verified icon

YYYY

What time will the student be leaving campus?

(Please check the bell schedule. We cannot send for a student during lunch or 30 minutes prior to the end of school.) /¿A qué hora saldrá el estudiante del campus? (Por favor verifique el horario de campanas. No podemos enviar a buscar a un estudiante durante el almuerzo o 30 minutos antes del final de la escuela).

Time

Reason for Early Dismissal / Motivo del despido anticipado *

Medical / Dental Appointment / Cita médica / dental

Illness / Enfermedad

Mandatory Court Appearance / Comparecencia obligatoria ante el tribunal

Religious Holiday / Vacaciones religiosas

Funeral Service / Comparecencia obligatoria ante el tribunal

Parent Request (Unexcused) / Solicitud de los padres (injustificada)

Other:

Required

Will the student be returning to school today? / ¿El estudiante regresará a la escuela hoy? *

Yes/ Si

No / No

Parent or guardian name / Nombre del padre o tutor *

Contact Number (XXX-XX-XXXX) / Número de contacto (XXX-XX-XXXX) *

If a person other than parent or guardian is picking up the student, please enter the name here (this person must be on student's emergency contact list and must provide photo identification). / Si una persona que no sea el padre o tutor está recogiendo al estudiante, ingrese el nombre aquí (esta persona debe estar en la lista de contactos de emergencia del estudiante y debe proporcionar una identificación con foto). *

Will the student be picked up/ Drive? *student must present Driver's license in order to drive*/ ¿El estudiante será recogido / Conducir? *el estudiante debe presentar licencia de conducir para conducir* *

Picked Up by Parent/ Emergency Contact /Recogido por el padre / contacto de emergencia

Drive/ conducir

Questions? / Preguntas?

highland.attendance@kernhigh.org

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