Note From Home To School Form - Howard County - Maryland
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1A Note from Home to School
A Note from Home to School
PleASe PriNt
PleASe PriNt
To:_________________________________________ Date:___/____/_______
To:_________________________________________ Date:___/____/_______
Email address:____________________________________________________
Email address:____________________________________________________
Phone number in case there are questions:(_______)_______________________
Phone number in case there are questions:(_______)_______________________
Student:__________________________________________________________
Student:__________________________________________________________
First name
Last name
First name
Last name
Teacher:_______________________________________________ Grade:_____
Teacher:_______________________________________________ Grade:_____
Parents MUST escort their child to the office if their child is late.
Parents MUST escort their child to the office if their child is late.
q
is late due to:
q
illness
q
doctor/dental appointment
q
is late due to:
q
illness
q
doctor/dental appointment
q
other:______________________________________________________
q
other:______________________________________________________
___________________________________________________________
___________________________________________________________
q
is returning to school after an absence of_______days ________to:_____________
q
is returning to school after an absence of_______days ________to:_____________
Due to:_____________________________________________________
Due to:_____________________________________________________
___________________________________________________________
___________________________________________________________
My child is normally a
q
car rider
q
walker
q
assigned bus #________ rider
My child is normally a
q
car rider
q
walker
q
assigned bus #________ rider
My child has a change in dismissal plans for TODAY ONLY:
My child has a change in dismissal plans for TODAY ONLY:
will be picked up____________AM/PM by:___________________________
will be picked up____________AM/PM by:___________________________
q
q
q
will be a car rider
q
will be a walker/biker
q
will ride bus #____________ home.
q
will be a car rider
q
will be a walker/biker
q
will ride bus #____________ home.
q
will be staying after school for:______________________________________
q
will be staying after school for:______________________________________
q
Other:_________________________________________________________
q
Other:_________________________________________________________
______________________________________________________________
______________________________________________________________
Parent/guardian’s signature:___________________________________________
Parent/guardian’s signature:___________________________________________
Printed parent/guardian’s name:_______________________________________
Printed parent/guardian’s name:_______________________________________
Reminders:
Reminders:
Students may ONLY ride their assigned bus to or from school.
Students may ONLY ride their assigned bus to or from school.
Students may ONlY stay afer school if a note is provided for that day.
Students may ONlY stay afer school if a note is provided for that day.
Students leaving early will be called for dismissal when they are signed out.
Students leaving early will be called for dismissal when they are signed out.
iFAS # 39501014
iFAS # 39501014
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