Stony Lane Dismissal Form

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

Do not fill out this form for any after school activities. (Example: Chess Clubs, Girl Scouts, HBHM...)

If you are picking your child up at regular dismissal or earlier, we ask you to complete this electronic form for each student in your household.

Any changes in DAYCARE or BUS, please fill out this form.

Please complete one form per child for current day of 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 after 3:00pm as there is no guarantee your child's teacher will receive the message in time.

In the event of an Early Closing due to weather or an emergency, we will not place your child on the bus unless we hear from you.

Email *

Date *

YYYY

Name of Child (Last Name) *

Name of Child (First Name) *

Is your child(ren) a pick up EVERYDAY, Monday through Friday?

Yes

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Child's Teacher - *

Time of Dismissal *

Regular Dismissal time at 3:45pm

Early Dismissal NOTE: 3:15pm is the cutoff time for Early Dismissals

Change of Daycare or Bus routine

Early Dismissal Time

Time

Daycare or Bus Change:

Reason for Dismissal *

Appointment

Parent Pick Up

Other:

Pick Up Person(s): Must have Identification and be listed as a Contact in ASPEN. *

Phone Number of Pick Up Person (s) *

Send me a copy of my responses.

Submit

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