Senior Privilege Permission Form: Class of 2023
Please fill this form out for your SENIOR if they are interested in utilizing Senior Privilege. This form can not be filled out by the student.  Please note that for a senior to leave campus during Flex Block this form needs to be filled out by a parent/guardian.
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Email *
Student Name(s)
If multiples (twins etc..) please include all student names.
Parent/Guardian Name *
Release Form:   *
 I allow my grade 12 student(s) named above who is a member of the DSHS Senior Class and in good academic and discipline standing to utilize Senior Privilege which gives them release from DR's (Directed Research) and Flex Block. I understand that Senior Privilege is optional, and I am not required to allow my senior this privilege. I acknowledge that if I allow my senior to have Senior Privilege, and my senior signs out of school during their Senior Privilege block time as well as Flex Block they will not be supervised by school staff while off campus and release Dover-Sherborn Regional Schools from any liability or claim arising from my senior's use of Senior Privilege. I understand that my senior will be responsible for following the Senior Privilege rules set forth herein and that this privilege may be revoked by the school administration. A parent/guardian may revoke their consent by providing written notice to the Principal or Assistant Principal that they no longer consents to Senior Privilege.
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