THS Early Release Request Form - (Grades 9 - 12 - DO NOT COMPLETE IF YOUR CHILD IS SICK IN SCHOOL, AS THEY NEED TO REPORT TO THE THS CLINIC) 
IMPORTANT:  Please complete this form if your student needs to leave school early. (If you child is sick in school, please DO NOT complete this form, please tell them to report to the clinic for evaluation by the School Nurse.)  This form MUST be completed by the student's  residential legal parent/guardian).  (This form should not be completed by a non-residential parent/guardian or step parent nor should students complete this form.)  Once the release is processed, both the residential parent/guardian that is listed on file for the student and the student will receive an email with additional instructions on the release process, so please be sure to instruct your child to check their student email on the day of their release.   To eliminate disruption of classes, we would ask that you complete this form in advance, but not more than a day or two in advance of the scheduled release. If you are completing this form at the last minute, you may experience delays with your student's release.  Once the email is received, your student should report  to the Attendance Office to get an Early Release pass prior to their scheduled release (most come in between classes) and they should show this pass to their teacher so they are released from class to sign out in the Attendance Office, even if they drive.  The Attendance Office has the right to verify any information submitted on this form and deny the release of the student, if it is determined that a legal parent/guardian did not complete this request.  Any questions, please contact the Attendance Office directly at 330.486.2407 or send an email to tjohnson@twinsburgcsd.org.
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Email *
Student Name and Grade:  *
Date of Early Release (In order to ensure the timely release of your student, please submit this request in advance notice but no sooner than the day before or day of the release) *
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Time of Release:  *
Time
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Reason for Release:  (If your child is present in school and is ill, please do not complete this form.  Your child should report to the High School clinic.) Do not select more than one reason, and if no reason is selected your student will be marked unexcused for the time missed. 
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Reason for Release (continued). If you selected a reason above, please select None below:   *
Is Student Returning to School: *
Primary Parent/Guardian Name & Relationship to the Student (Only Primary Residential Legal Parent/Guardian should be listed here) *
Phone Number of Primary Parent/Guardian *
How should student be released:   *
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