Student Driver Permission for Early Dismissal

Student Driver Permission for Early Dismissal
Student drivers may be granted early dismissal from school with signed parental permission. They must sign out in the Upper School Office before leaving campus for an early dismissal and present a driving pass to the security guard to leave campus. Parents of students who do not drive must sign their students out by coming into the office and signing the dismissal register. Student drivers who fail to sign out before leaving campus will receive demerits.

*Please note, students who do not live in the same household may not ride in the same vehicle when leaving campus early without express written permission from all parents.
Parent's Name*

First NameLast Name
Parent's Email*
example@example.com
Student's Name*

First NameLast Name
Student's Email
johndoe26@tmastudent.org
This form may only be submitted by a parent or legal guardian. Students found to be submitting this form themselves will be subject to disciplinary action.*

I understand and attest that I am the parent or legal guardian of the named student.
Date of Early Dismissal*

MonthDayYear
Date
Time of Early Dismissal*

Hour Minutes

AM/PM Option
Reason for Early Dismissal*
Please provide a brief description of the reason for early dismissal.*
Will any students who do not live in your home and for whom you are not a legal guardian be leaving in the vehicle with your child?*

Will your child be driving or traveling as a passenger?*
Please list the first and last name(s) of the student(s) your child is permitted to travel with.*
Please note that listing a student here does not constitute permission for that student to be dismissed early. Rather, each student must have permission submitted by a parent or legal guardian, and those submissions must similarly include permission for them to be leaving with your child.

Permission
I, {parentsName}, grant permission for {studentsName} to be dismissed to leave campus at {timeOf} on {dateOf}. I understand that missing more than 15 minutes of a standard class period or more than 30 minutes of a block class period will be recorded as an absence for my child.

Signature*
Should be Empty: