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Request for Late Arrival/Early Dismissal
This request form allows parents/guardians of students with block 1 and/or 4 study halls to give permission for late arrival/early dismissal
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* Indicates required question
Email
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Your email
Student Name
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Your answer
Name of parent/guardian approving late arrival/early dismissal
*
Your answer
Preferred email of parent/guardian approving late arrival/early dismissal
Your answer
Preferred phone number of parent/guardian approving late arrival/early dismissal
*
Your answer
Student's grade
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Freshman
Sophomore
Junior
Senior
Other:
Which blocks does your child have study hall and do you permit your child not to attend? Please select all that apply. Please understand that this is not a full open campus policy. Students with study halls in the middle of their day are required to attend.
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Day A, Block 1
Day A, Block 4
Day B, Block 1
Day B, Block 4
Required
My child's block 2 teachers on Day A and B day are... (this information is only used to deliver the late arrival/ early dismissal pass to your child)
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Your answer
Parent/Guardian Information Verification (Please check the box below to acknowledge the information provided above is accurate)
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I attest that I am the custodial parent/guardian for the student indicated in this form, and I give permission for him/her to arrive late and/or depart early for the study halls indicated here.
Required
Parent/Guardian Signature (Please type your full name)
*
Your answer
A copy of your responses will be emailed to the address you provided.
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