Summer Camp Dismissal Form 　　　　　　　　サマーキャンプ早退届

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Please fill out this form in case of early dismissal.
早退をされる時はこのフォームでお知らせ下さい。

Email *

Student's Name　生徒氏名 *

Class クラス *

Reason 理由 *

Sick 病気・怪我・病院

School 学校の用事

Personal/Family 家庭の理由

Other:

Date　早退する日にち *

YYYY

My child will be picked up at　お迎えの時間 *

Time

Comments (if any) 連絡事項があればご記入下さい

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

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