Dismissal Options at Pickens Middle School

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Please complete this form to help us identify dismissal options for your child.

Last Name (Student) *

First Name (Student) *

Grade Level for the 2021/2022 school year? *

8th Grade

7th Grade

6th Grade

Select how your child will get home at the end of the school day. Please check ALL that apply. *

Bus Rider

Car Rider

Walker

Required

If you selected "car rider", do you have multiple children in different grade levels? *

Yes

If so, please list the name and grade level of each student. (This is the CarPool option.) *

Car rider families will be provided a rear view mirror car tag with a number that will identify your child/children. How many car tags do you need for other family members that will be picking up your child? If more than 2 are needed or if a car tag is lost, the cost for an additional car tag will be $3.00. *

Other:

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