Editing previous response:

Please fix the highlighted areas below before submitting.

Early Departure Reporting 2024-2025

Parent / Guardian Name*

Answer required for "Parent / Guardian Name"

Parent / Guardian Phone Number*

Number Required

Student's First and Last Name*

Answer required for "Student's First and Last Name"

Student's Homeroom (KJ,5B,8E, etc.)*

Answer required for "Student's Homeroom (KJ,5B,8E, etc.)"

Date of Early Departure*

Answer required for "Date of Early Departure"

Time of Early Departure*

Answer required for "Time of Early Departure"

Will student return to school?*

Answer required for "Will student return to school?"

Person picking up student, and relationship to student if not parent. (If not listed on student's emergency form, picture ID must be presented)*

Answer required for "Person picking up student, and relationship to student if not parent. (If not listed on student's emergency form, picture ID must be presented)"

Reason for Early Departure: If appointment, please bring a note from health care provider.*

Answer required for "Reason for Early Departure: If appointment, please bring a note from health care provider."

Confirmation Email

Answer required for "Confirmation Email"