Request for Change in Dismissal Plans
****IMPORTANT!!! ***
NO ONE WILL CHECK THIS FORM AFTER 2:45 EACH DAY. NO CHANGES WILL BE ACKNOWLEDGED/FOLLOWED IF CHANGES ARE MADE AFTER 2:45 FOR THE CURRENT DAY. All early pick ups must happen before 2:45pm if you arrive late, on or after 2:45pm you will need to pick your child up via the parent pick up line as the main office is closed during dismissal time. 
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Email *
First Name of Student *
Last Name of Student *
Homeroom Teacher's Name *
Name of parent/guardian making the request *
On the date selected below, my child's dismissal plan will be: *
A separate request will be needed for each day the plan is different than the plan on file.
MM
/
DD
/
YYYY
What is the dismissal plan for the selected day? *
If you chose other to the question above. Please explain. 
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