I, parent/legal guardian of the above-named student at Jewish Culture High School do hereby authorize permission for my child to dismiss early from school at the date and time listed above. I further acknowledge and authorize the manner in which my child will be dismissed and/or accompanied off campus by the person listed.
By submitting this form and signing below, I attest to be the parent or guardian of the above-named student and am granting permission for my child to leave school early at the time and date listed on this form and with the person listed above. Further, I agree to all the terms of this form.