My Child's Dismissal Form

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My Child's Dismissal Form

Please fill out this form so we know how your child will be going home from school. If your child has split schedule (some days bus, some days aftercare or parent pick up) please indicate that in the last option. If you ever have a change to the dismissal routine, please make sure to contact myself and the main office.

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* Indicates required question

Child's First Name *

Your answer

Child's Last Name *

Your answer

Please select how your child will be going home. *

Bus rider

Parent Pick Up

After Care

If you have a certain schedule please list it here. For example ( M and T bus W, Th, F- Parent Pick Up)

Your answer

Submit

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