Early Dismissal

JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.

Early Dismissal

PARENTS ONLY! Falsification/forgery of a note, phone call, Google form or email is grounds for disciplinary action.

(Please submit by 9:00 a.m. the day of the Early Dismissal OR Must give 2 hr notice)

This information will be sent directly to the Attendance Office staff and your child will be issued a pass to leave school at the requested time.

By completing the form, you are certifying that you are the parent/legal guardian of this student and are authorized to submit this information.

Please note that we do not do early dismissals after 3pm.

*You will be automatically emailed a copy of your responses after you completed this form. No need to call the office and leave a voicemail or verify that it was submitted. Phone call requests will not be accepted for early dismissals.

Email *

Please provide the best telephone number by which to reach you *

Your FIRST and LAST name? *

What is your relationship to the student? *

Mother or grandmother

Father or grandfather

Guardian

Other

You selected "Other" to the question, "What is your relationship to the student?" Please explain.

PARENTS ONLY! Falsification/forgery of a note, phone call, Google form or email is grounds for disciplinary action such as Saturday School.
*

I agree I am the students parent/guardian

Clear form

Never submit passwords through Google Forms.

This form was created inside of Folsom Cordova Unified School District. Report Abuse

Forms