Daily Dismissal Plan
For the safety of our students, Synergy Magnet K12 Staff will be following your child's dismissal plan as indicated below. Any changes to this written plan must be sent in on a note to the teacher the morning of the change. We MUST have a note or phone call from the parent to send your child home in a different manner, i.e. home with a friend, etc. This is critical as high numbers of last-minute phone calls requesting changes can cause confusion for the students and staff. We also have very specific plans in place for dismissal that are impacted by late changes. Please do not call the office requesting a change unless it is an emergency. Emergency changes should be called in rather than emailed, and should be received by 2:00 p.m. to ensure all students are where they need to be for dismissal.
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Email *
Please Initial below that you have read all the information above *
Please Indicate (Can select multiple if there are different plans throughout the week) *
Required
Bus Color
Bus Color
Day Care Pick Up
Name of Day Care
Daycare Name
Daycare Phone Number
Day Care Drop Off
Daycare Name
Daycare Phone Number
Walker
Walking Home with Adult
Clear selection
Adult Name
Adult Phone Number
Parent/Baby Sitter Pick Up
Parent/Babysitter Name
Parent/Babysitter Phone Number
Student/Sibling Pick Up
Student/Sibling Name
Student/Sibling Grade
Weekly Plan
My Child's Normal Dismissal Plan, Each Day will be (Bus/Daycare Name/ Walker/ Parent Pickup
Monday
Tuesday
Wednesday
Thursday
Friday
Parent Confirmation of Proper Information, Signature, and Date
Initial below to confirm all proper information has been provided in the proper areas above *
Parent Signature *
Date Completed *
MM
/
DD
/
YYYY
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