2022-23 Elgin School Dismissal Form

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Please note below what your student(s) will normally do when school is dismissed. This form is intended for DAILY ROUTINE dismissal procedures. Any changes to the dismissal routine should be noted through a note to the teacher or a change to the office via phone call or email by 2:00 PM (12:30 PM on Fridays).

Parent's LAST Name *

Parent's First Name *

Student(s) Name(s) - Please list all students in the household. *

Dismissal Schedule - Only one choice per day. If your students have different schedules, please complete separate forms.

Parent Pick Up

Bus

Monday

Tuesday

Wednesday

Thursday

Friday

Bus Stop Information - What is the bus stop name/description where your child will be getting off the bus?

Bus Stop Release

My child(ren) may be released to walk home at the bus stop without a parent/adult present.

My child(ren) may NOT be released unless an authorized adult is present.

The following adults have permission to pick up my child from school or the bus stop.

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