2021-2022 FCE Dismissal Form

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Please fill the form out completely for each child in your class.

Student's Last Name *

Student's First Name *

Student's Grade *

Student's Homeroom Teacher *

Student has a sibling at FCE.

Yes

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Student's Regular Dismissal *

Name of Daycare student will attend.

Student will be a _____________ when Rainy Day Dismissal is called. *

Car Rider, Daycare Rider or Bus Rider as usual

Car Rider

Daycare Rider

Bus Rider

Redstone Bend Biker/Walker (Parent will pick up at door 15)

Stonebridge Biker/Walker (Parent will pick up at door 3)

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