STUDENT PICK UP FORM
If you have a child who will be picked up from our pick up line at the end of the day, please submit your request here.  Students will be dismissed at 3:25 PM daily.

If your child is being picked up mid-day, please submit the time and reason below.  

Please submit form by 2:30 PM the day it is occurring.
Email *
Student(s) Name
 *
Person picking up student(s) - Display the name placard on the dash of your car.  Please note that we may ask for ID.
 *
Grade Level
 *
Homeroom Teacher Name
Date for Pick-up *
MM
/
DD
/
YYYY
Time of Pick-up *
Time
:
Additional Notes: Car Rider or Reason for Early Dismissal. Please specify if they are a car rider until further notice.
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