2022-2023 Student Release Form

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Parents - please note that this form is used to help navigate your students after school plan for the first few days of school. This will help the teachers until they have an opportunity to develop your families needs and routine. Please take a moment to fill out for each Preschool to 6th grade student.

Student Name *

Teacher's name

Name of person(s) authorized to take custody of above named student.

1. Name, Phone number and Relationship *

Dismissal Plan *

I will pick up my student from their teacher after school in the designated "Pick-up" area.

Student will ride the bus (Please complete online Bus Registration)

Student will go to After School Kids Club 3pm-6pm (Registration and fees apply - Please use the link in the email or on our website to complete the After School Kids Club form)

Other:

Required

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