New Smyrna Beach High School
New Smyrna Beach High School Pre-Arranged Early Checkout Permission Form Please complete the following form to help us accommodate you by having your student available at the designated time for early checkout.
Date: Student Name:
Alpha: Please Print
Parent/ Guardian Name: Please Print
Phone Number:
Alternate Phone:
Please Check Appropriate Box Method of Checkout:
Parent pick-up
Walk/ Drive Home
*Walk/ Drive Home checkouts must be verified by office before student leaves
Date of Checkout: Time of Checkout: Parent Signature: Attendance Verification Initials: Date/ Time: Students will be given a blue pass to exit the campus. You will not be allowed out of class without the blue pass. White Copy: Main/ Attendance Office
Date: Student Name:
Alpha: Please Print
Parent/ Guardian Name: Please Print
Phone Number:
Alternate Phone:
Please Check Appropriate Box Method of Checkout:
Parent pick-up
Walk/ Drive Home
*Walk/ Drive Home checkouts must be verified by office before student leaves
Date of Checkout: Time of Checkout: Parent Signature: Attendance Verification Initials: Date/ Time: Students will be given a blue pass to exit the campus. You will not be allowed out of class without the blue pass. White Copy: Main/ Attendance Office
