After School Detention Form

A notice a school sends home to inform parents that a student must stay after class, including the reason and safe pickup instructions.

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Student's Name

First Name

Last Name

School

Grade

Teacher's Name

First Name

Last Name

Parent's Name

First Name

Last Name

Parent's Phone Number

Student's Home Address

Street Address

City

State / Province

ZIP / Postal Code

Assigned Date

Assigned Time

Reason for Detention

Please Select an Option for Your Child's Safe Return Home

Parent will pick up the student Student will take the school bus Student will walk home An authorized designee will pick up the student

Designee's Name

First Name

Last Name

Phone Number

Parent's Signature

Sign here

Date

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