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Harker School Yearly Dismissal Procedure Form
FOR YOUR CHILD AT THE END OF THE SCHOOL DAY
•A FORM MUST BE COMPLETED FOR EACH CHILD IN YOUR FAMILY•
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* Indicates required question
Child's First Name
*
Your answer
Child's Last Name
*
Your answer
Please select your child's grade level
*
3
4
5
What is your child's Homeroom Teacher's Last Name
*
Your answer
Please Check off (√) each day according to your child’s schedule below:
Monday
Tuesday
Wednesday
Thursday
Friday
Bus Rider
Parent Pick-up (in Gym ID required)
Comet Care
Other (please note in comments)
Monday
Tuesday
Wednesday
Thursday
Friday
Bus Rider
Parent Pick-up (in Gym ID required)
Comet Care
Other (please note in comments)
If your child rides the bus, please list their bus number here.
Your answer
Supply any comments with regards to this dismissal schedule. (Students cannot use different buses. DISTRICT POLICY -1 bus, 1 seat, 1 stop)
Your answer
Please list any people authorized to pick your child up.
Your answer
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