January 25th & 26th Early Dismissal Permission Slip

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Email *

Student First Name *

Student Last Name *

Grade *

I give my student permission to leave early on Monday, 1/25, at 11:38 and understand my child will need his/her own transportation from school. *

Yes

I give my student permission to leave early on Tuesday, 1/26, at 11:38 and understand my child will need his/her own transportation from school. *

Yes

Parent First Name

Parent Last name

By clicking yes, I understand typing my name above will serve as an electric signature, and I am vouching I am the parent of this student and give my permission electronically. (Any student who completes this form without parent permission and knowledge may face consequences from the school equivalent to skipping class.) *

Yes

Required

A copy of your responses will be emailed to the address you provided.

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