Early Dismissal, Absences, & Late Arrival to School

Please go to the appropriate area of the form to complete your request.

Student Name Student Name First Last
Student Number
Maximum of 6 digits allowed. Currently Entered: 0 digits.
Parent/Guardian Name Parent/Guardian Name First Last
Parent/Guardian Phone where you can be reached during the day. Parent/Guardian Phone where you can be reached during the day. - ### - ### ####
Parent/Guardian Email
LATE TO SCHOOL Notification

If a student arrives after 8:30AM, they must report to Student Services in the Main Office to receive a pass. Please complete this section of the form to excuse their tardy.

This notification must be received by 12PM of the day of the tardiness/late arrival to school or the tardiness/late arrival to school will remain unexcused.
Date of Tardiness to School Date of Tardiness to School / MM / DD YYYY
Reason for Tardiness/Late Arrival to School.
Of note, not all reasons will be marked as EXCUSED.
EARLY DISMISSAL FROM SCHOOL Request

If your student is leaving early, they MUST check out through STUDENT SERVICES in the MAIN OFFICE to receive their pass to leave. If the student fails to do this, the absence WILL NOT be excused.

There are no check-outs after 2:15pm. If the student drives themselves the school needs to have received permission for them to leave PRIOR to them leaving campus. This request must be received no later than 11:00 AM.
Date of Early Dismissal Request Date of Early Dismissal Request / MM / DD YYYY
Time of Dismissal Request Time of Dismissal Request : HH MM AM/PM
Reason for Early Dismissal Request
ABSENT ALL DAY Notification

This is the area in which you should enter the reason as student is absent if they are not at school for the ENTIRE DAY.

Students may make up any and all assignments, tests or related work assigned on the day(s) of the excused or unexcused absence at full credit. The student is responsible for asking the teacher(s) for make up tests, assignments and other work. Unexcused absences will still be counted towards Loss of Privileges, including suspension or revocation of parking privileges. Please see the Student Code of Conduct for more information. (Source: Portion from the District School Board of Pasco County Secondary Student Code of Conduct.)
First Day of Absence First Day of Absence / MM / DD YYYY
Last Day of Absence Last Day of Absence / MM / DD YYYY
Reason for Absence

Reason for Absence Illness of Student Major illness in the immediate family of the student Death in the immediate family of the student Religious Holiday of the student's faith Religious instruction Subpoena or forced absence by any law enforcement agency. A copy of the subpoena or court summons must be submitted Other Other
Upload Documentation of Doctor Note or Subpoena

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Early Dismissal, Absences, & Late Arrival to School

Early Dismissal, Absences, & Late Arrival to School

LATE TO SCHOOL Notification

EARLY DISMISSAL FROM SCHOOL Request

ABSENT ALL DAY Notification