CHS Early Leave Reporting
Complete this form if your student will be leaving campus early. We are requesting this form to be completed by 11:00am on the day of the early leave in order for the off-campus pass to be generated for the student. Students must pick up the off-campus pass in the attendance office during nutrition or lunch.
If you have missed the 11:00am deadline, please complete the online form and call the office at (818) 222-7177 x52231 to insure that your form was received.
Name of Person Completing Form
Relationship to Student
18+ Adult Student(Form on file in attendance office)
Your Phone Number
Please list a number you can be reached at today. This number must match one of the parent/guardian numbers listed in Aeries.
Student Last Name (NOT PARENT)
Student First Name (NOT PARENT)
Student Grade Level
Post Secondary Program
Date of Early Leave Request
Time of Departure
Reason for Absence
DOCUMENTATION IS REQUIRED FOR SPECIFIC ABSENCES(SEE BELOW) IN ORDER FOR THE ABSENCE TO BE CONSIDERED EXCUSED. DOCUMENTATION CAN BE BROUGHT TO THE ATTENDANCE OFFICE BY THE STUDENT UPON RETURN.
Medical, Dental, Optometric, Chiropractic Appointment(documentation required upon return. If documentation is not turned in the absence will be unexcused)
Bereavement of an Immediate Family Member
Religious (Major Holiday)
Court Appointment (Must provide documentation)
Regular Attendance is Essential For Learning
The primary responsibility of the student is to be in class to maximize his/her opportunities for success. Excessive tardiness and absences have a direct correlation to poor student performance and are detrimental to the learning environment. Parents, students, teachers, and administrators all have a shared responsibility to ensure that a quality education is a priority. Las Virgenes Unified School District’s attendance policy is directed toward achieving that goal. When a child is excessively absent, a conference will be held. Excessive absences may result in referral to the School Attendance Review Board (SARB).
I am a parent or legal guardian reporting the absence.
I have read and understand CHS attendance policies.
Electronic Signature(Full Name)
A copy of your responses will be emailed to the address you provided.
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This form was created inside of Las Virgenes Unified School District.