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HOLT - Dismissal Form
How is your child going home
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Student Last Name:
*
Your answer
Student First Name
*
Your answer
Grade Level
*
PreK
K
1
2
3
4
Teacher:
*
Your answer
Additional Student(s), Grade Level, Teacher: (Example: Jane Smith 4th Grade Price)
Your answer
Additional Student(s), Grade Level, Teacher:
Your answer
Additional Student(s), Grade Level, Teacher:
Your answer
How is your child getting home?
*
Car PickUp
Bus
DayCare
I understand due to the unprecedented times we are in, and for the safety and well-being of Holt students, there will be NO walkers dismissal for the 20-21 school year.
*
I Understand
Required
For the safety and well-being of all students and staff at Holt elementary all adults and other passengers must REMAIN in their vehicle at all times during dismissal.
*
I Understand
Required
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