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KMHS Signout Request
Parents/Guardians: Please complete this form completely to request a sign-out.
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Email
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Your email
Full Student Name (First & Last Name). Do not use nicknames--use the LEGAL name in our system.
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Your answer
Date of sign-out
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Your answer
Time of sign-out
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Your answer
Reason for sign-out
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Your answer
Parent/Guardian FULL name
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Your answer
Parent/Guardian Phone Number
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Your answer
SECURITY QUESTION
: For the safety of our students, please enter the complete birthdate of the student. (Ex: July 19, 2006 would be entered 07/19/2006)
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Your answer
A copy of your responses will be emailed to the address you provided.
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