EARLY DISMISSAL NOTE
SEVENTH DISTRICT ELEMENTARY
My child, _______________________________, in ______________________
(homeroom teacher’s) class needs to leave early on ______________________
(date), due to the following reason:
________________________________________________________________
S(H)e will be picked up at _______________________ (time), and will/will not
(circle one) be returning to school today.
Parent/Guardian Signature: _________________________ Date: ___________
Please call the school 10-15 minutes before the pick-up time so we can
have your child ready.