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Rio Vista Elementary Early Release Slip
Permit for Early Release of Child During School Hours
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* Indicates required question
Child's Name: First, Last:
*
Your answer
Date:
*
MM
/
DD
/
YYYY
Time:
*
Time
:
AM
PM
Reason:
*
Doctor/Dental
Personal Business
Other
Required
Name of Person Checking Student out: First, Last:
*
Your answer
Phone Number:
*
Your answer
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