DHS Parental Excuse Form For Early Dismissal (STUDENT DRIVERS ONLY)

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******THIS FORM IS ONLY ALLOWED FOR STUDENT DRIVERS. All other dismissals must have the parent/guardian/emergency contact present in the front office.

A phone number must be provided for your child to be dismissed. Please call the office at 864-379-2186 to confirm your student's dismissal. The student must come to the office to be dismissed.

Email *

Student's Full Name *

Grade *

8th

9th

10th

11th

12th

Early Dismissal Date(s) *

YYYY

Early Dismissal Time *

Time

Please state the reason for your child's early dismissal below. If a reason is not given, it will be marked as "unexcused". If the excuse is medical, then a medical excuse must be provided upon return to school.: *

How will the student be dismissed? *

Student Driver (*Please call the office at 864-379-2186 to confirm dismissal. The student must come to the office to be dismissed.)

IF NOT A STUDENT DRIVER, STUDENT MUST BE PICKED UP IN THE FRONT OFFICE.

Parent/Guardian Name: *

Phone number for parent or guardian: *

Send me a copy of my responses.

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