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.  

If possible - please submit form by 1:30 PM the day it is occurring.
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Student(s) Name
Person picking up student(s) - Please note that we may ask for ID. *
Teacher(s) Name *
Pick-Up time *
Time
:
Date for Pick-Up *
MM
/
DD
/
YYYY
Additional Notes: Car Rider or Reason for Early Dismissal
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