Concordia Academy > CA Families > Documents & Links > Release Form Release Form Student Name(Required) First Last Student Concordia Academy Email(Required) Parent/Guardian Name(Required) First Last Parent/Guardian Email(Required) Please select any that apply.(Required) We need to complete the Junior/Senior College On Campus Release portion of this form We need to complete the Senior Release portion of this form. Student Schedule – please upload a screenshot of the students first semester schedule here.(Required)Max. file size: 128 MB.Junior and Senior College on Campus Attendance AgreementTerms of Junior/Senior College Release A parent signature on this form permits their student to leave campus on any first or last block of any day when a college class is not meeting. Students with a late start must arrive in time for Beacon Block. Repeated tardiness for Beacon Block can be grounds to have this privilege revoked. If students have a study hall before a last block college class, they must be in school during study hall. This agreement only applies to blocks 1,2,7&8. Students are expected to be in school blocks 3,4,5&6 unless otherwise excused by a parent using our attendance reporting system. Parent: I have checked the above boxes, agreeing to the terms of Junior/Senior College Release. Check to give parental permission.Parent/Guardian SignatureStudent: I have checked the above boxes, agreeing to the terms of Junior/Senior College Release. Check to show student has read and agrees to the above terms.Student SignatureI have multiple college classes in a row not taught by CA teachers. *Note: All college classes taught by CA teachers will meet on the same schedule as high school courses, including Fridays. yes no My student has 3-4 college classes in a row. On a day when multiple classes do not meet, my student has permission to come to campus late or leave earlier. *NOTE: Permission can be revoked by CA if a student is regularly missing or tardy for chapel, Family Life Groups or other special assemblies/student body activities. I agree to the extended release policy.My student has 3-4 college classes in a row. On a day when multiple classes do not meet, my student has permission to come to campus late or leave earlier. *NOTE: Permission can be revoked by CA if a student is regularly missing or tardy for Beacon Block, or other special assemblies/student body activities. Parent/Guardian SignatureSenior Release AgreementLate Start/Early Dismissal is an earned privilege available to seniors. This is a privilege tied to a student’s academic and behavior record. This is not the same as any college release privileges. Seniors must: 1) Be enrolled over two semesters in a minimum of six credits of regular coursework. 2) Be enrolled in coursework to meet graduation requirements. 3) Have signed permission from parent or guardian. 4) Sign the agreement below to abide by the terms of release. In general, students may have release from the building for the first block of the day or the last block of the day in lieu of a study hall.Senior Release Rules Study halls in blocks 3,4,5 and 6 are not eligible for release privileges. Seniors are expected to check in to the Commons and attendance will be tracked. Students MUST be present and on time for Beacon Block. Students must also be on time to every assembly, family life group, or other school event. It is the student’s job to know the daily schedule. Please plan ahead for inclement weather or finding a parking space to ensure you arrive on time. Students with release who choose to stay on campus, must be in the Commons. Students with late start or early release must sign in or out at the front office. Students will lose their release privilege if there are any academic, attendance, or behavioral issues. Imitating or forging parental permission will nullify this release for the semester. This goes into effect once a parent or guardian has completed the form. If you are unsure, you must check in with attendance in the front office. I have reviewed the rules listed above with my senior and checked each box showing that we understand and agree to the terms of Senior Release. Check this box to show that both student and parent/guardian have read and agree to the above Senior Release Rules.Parent/Guardian Signature
