Peace Dale Elementary Dismissal Form 2022-23 School Year
EVERYDAY OPTION NOW AVAILABLE.  

CHOOSE "YES" and  YOU WILL NOT HAVE TO SUBMIT THIS FORM EVERYDAY.

Please complete this electronic form for every student in your household who will be picked up from school at regular dismissal or earlier.  

Please complete one form per child for current day dismissal. Please submit the form by 12:00 pm (Noon) the day you are picking up your child. We cannot accept phone calls regarding dismissal as there is no guarantee your child's teacher will receive the message in time.
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Email *
Email Address *
Date *
MM
/
DD
/
YYYY
Name of Child (Last Name) *
Name of Child (First Name) *
My child(ren) dismissal plan is changing for TODAY only.  Today my child(ren) should be dismissed as one of following: *
Child's Teacher *
This will be my child's REGULAR EVERYDAY DISMISSAL PLAN.  (Please note, choose yes if this is how your child will be dismissed on MOST DAYS.  If your child will be dismissed differently, you will need to complete this form and send in a signed and dated note.) *
Required
Time of Dismissal
Clear selection
Early Dismissal Time
Time
:
Reason for Early Dismissal
Pick up person:  (Must have identification and be listed as an authorized release in Skyward) *
Phone number of  Pick-Up Person (s) *
Submit
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