Student Name:  

Student Grade: 9th10th11th12th

Date of Early Dismissal: 

Time of Early Dismissal: 

Reason for Early Dismissal: 

Parent First Name:  Parent Last Name: 

Parent Email: 

Attention parents and guardians, if you are filling out this form related to a medical appointment for your child please email any medical documentation to the FTCHS Attendance Clerk at [email protected].