RHS Form

RHS Form
Student's Name

First NameLast Name
Student's Grade
Person completing this form:

First NameLast Name
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Email Address
example@example.com
Date(s) this note applies:
Select one of the following:

Other
Does this note pertain to a student leaving for a free or lunch period?
A written note is required for any student leaving during a free or lunch period until 09/28/2026. If you have not already, please fill out this blanket form for the coming year for students in grades 11 or 12: Request for Free Period
A written note is required for any student leaving during a free or lunch period until 09/28/2026
Late Arrival Reason:
Dismissal Change
Person's Name
Pickup Time

Hour Minutes

AM/PM Option
Date of Absence

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Reason for Absence
Please Explain
Additional notes and information:
Should be Empty: