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RUSH 2023 - Time Away Form
If your child has a schedule conflict and needs to leave Rush for a little bit, you need to fill out this form.
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* Indicates required question
Email
*
Your email
Student Name
*
Your answer
What day will they be leaving away from RUSH programming?
*
Choose
Friday, February 3rd
Saturday, February 4th
Sunday, February 5th
What time will they be leaving?
*
Time
:
AM
PM
How will they be leaving?
*
Choose
They will be picked up
They will drive themselves
If they are getting picked up, what is the name of the person who will be picking them up?
Your answer
Estimated time to return:
*
Time
:
AM
PM
Parent/Guardian Name:
*
Your answer
Parent/Guardian cell number:
*
Your answer
Student cell phone number (if they have one)
Your answer
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