Application for Senior Early Release

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Senior Early Release is an earned privilege available to seniors who meet the criteria established by the Mobile County Public School System. Senior Early Release is a non-credit course that is offered during third and fourth blocks, only. Seniors requesting Senior Early Release will need to complete this form and provide a parent's signature. Once the application is submitted, the Senior Counselor will conduct a thorough transcript analysis to determine eligibility. Students and parents will be notified of eligibility.

Guidelines for Senior Early Release

Acknowledgment of Senior Early Release Guidelines *

I have read and understand the Guidelines for Senior Early Release.

Required

NAME OF HIGH SCHOOL *

LAST NAME *

FIRST NAME *

MIDDLE INITIAL *

MAILING ADDRESS *

CITY *

STATE *

ZIP CODE *

EMAIL ADDRESS *

PHONE NUMBER (INCLUDE AREA CODE) *

NAME OF PARENT OR GUARDIAN *

PARENT'S EMAIL ADDRESS *

PARENT'S PHONE NUMBER (INCLUDING AREA CODE) *

Parent and Student Liability *

The undersigned parent or guardian releases the school, the Board of School Commissioners of Mobile County and its members, employees and agents from any and all claims arising out of any injury to the student after the student leaves the school campus pursuant to the student’s participation in the Senior Early Release Program.

Required

Student's Signature *

Parent's Signature *

Submit

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