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.
Email address *
Untitled Title
Untitled Title
Untitled Title
Name of Person Completing Form *
Your answer
Relationship to Student *
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.
Your answer
Student Last Name (NOT PARENT) *
Your answer
Student First Name (NOT PARENT) *
Your answer
Student Grade Level *
Required
Date of Early Leave Request *
MM
/
DD
/
YYYY
Time of Departure *
Time
:
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.
Required
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).
Authorization: *
Required
Acknowledgement *
Electronic Signature(Full Name) *
Your answer
A copy of your responses will be emailed to the address you provided.
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