Dsa Early Student Sign Out Form.2011-12 - Durham School Of The Arts printable pdf download

DURHAM SCHOOL OF THE ARTS

“Rigorous Academics, Excellence in the Visual & Performing Arts”

400 N. Duke Street

Durham, North Carolina 27701

Telephone: (919) 560-3926

Fax: (919) 560-2217

Principal:

Assistant Principals:

David L. Hawks

Michael Ferguson

Willa Sample

Rodney Berry

EARLY DISMISSAL/SIGN OUT

In order to minimize class disruptions, the Main Office needs to eliminate the practice of calling into classrooms to

obtain students for sign out purposes. Therefore, students who need to leave school before the end of the school day

(for medical appointments or family reasons) are required to turn in the completed Early Dismissal/Sign Out Permission

Form. Students must bring the completed Early Dismissal/Sign Out Form to the Main Office upon arrival to school

notifying the office of the need to check out early. The completed form must include a phone number at which the

parent may be contacted in order to verify the authenticity of the form. A copy of the Permission Form will be given to

the student to turn in to his/her teacher at the beginning of the class period that the student is to leave early from. At

the appropriate time, the student will report to the Main Office to sign out. In all cases, the student will not be released

to anyone other than the parent/guardian unless previously approved in writing. The parent/guardian may pick up the

student by signing him/her out in the office. Older high school students that have been pre-approved may sign out

based on parent permission and the verified authenticity of the form.

Leaving school without following the above procedure will be regarded as skipping and will result in disciplinary action.

Again, we are implementing this policy to eliminate class disruptions so instructional time is not lost. Please,

no phone calls will be accepted to sign students out early.

EARLY SIGN OUT PERMISSION FORM

(turn in to Main Office first thing in the morning)

Name of Student: ____________________________________________________ Date: ______________________

Student Sign Out Time: __________ Class: ___________________ Teacher Name: ___________________________

Reason for Early Sign Out (documentation of a medical appointment from the doctor/dentist will result in any class

absences being classified as an excused absence): _____________________________________________________

______________________________________________________________________________________________

Phone # to Confirm Above: ________________________________________________________________________

Print Parent/Guardian Name:

______________________________________________________________________________________________

Signature of Parent/Guardian: _____________________________________________________________________

Dsa Early Student Sign Out Form.2011-12 - Durham School Of The Arts