Arrival / Dismissal Information

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Parent Name *

Parent Email *

Parent Phone Number *

Arrival *

My child will take the bus to school in the morning.

My child will be dropped off at school in the morning.

Dismissal *

My child will be a walker (This includes walking to the car).

My child will take the bus.

STUDENTS IN GRADES 4-5 ONLY. If your child is a walker/pickup, I give him/her permission to walk to my car at dismissal. *

Yes

N/A

Child #1 First and Last Name *

Child #1 Homeroom Teacher *

Child # 2 First and Last Name

Child #2 Homeroom Teacher

Child #3 First and Last Name

Child #3 Homeroom Teacher

Child #4 First and Last Name

Child #4 Homeroom Teacher

Child #5 First and Last Name

Child #5 Homeroom Teacher

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