Dismissal & Pick Up Authorization 2021-22
Please list below where your child typically goes at the end of the school day.

If your child is a walker, please send a note at the beginning of the school year authorizing him or her to walk home. Students without notes will not be released to walk home.

If there is a change to this routine, please send a note to your child's teacher and copy the stmoffice@stmschool.org inbox so that we can properly dismiss your child.

Click submit and complete one form for each child.
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Email *
Student First Name: *
Student Last Name: *
Student Grade: *
Monday *
Tuesday *
Wednesday *
Thursday *
Friday *
These individuals are permitted to pick up my child (please DO NOT list guardians): *
These individual(s) are NOT permitted to pick up my child:
Parent Electronic Signature *
Parent Email address: *
A copy of your responses will be emailed to the address you provided.
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