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Early Departure Reporting 2024-2025

Parent / Guardian Name*

Answer Required

Parent / Guardian Phone Number*

Number Required

Student's First and Last Name*

Answer Required

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

Answer Required

Date of Early Departure*

Answer Required

Time of Early Departure*

Answer Required

Will student return to school?*

Answer Required

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

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

Answer Required

Confirmation Email

Email Required