Request for Change to TODAY'S Dismissal

Request edit access

JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.

*****IMPORTANT!!!!***** THIS FORM IS TO BE USED FOR TODAY'S DISMISSAL ONLY.
NO ONE WILL CHECK THIS FORM AFTER 2:30 PM TODAY. NO CHANGES WILL BE ACKNOWLEDGED OR FOLLOWED IF THIS FORM IS FILLED OUT AFTER 2:30 PM. IF THERE IS AN EMERGENCY & A DISMISSAL CHANGE NEEDS TO BE MADE AFTER 2:30 PM, YOU MUST CALL THE MAIN OFFICE AT HES - 908-431-6600 - OPTION 4, THEN 2, THEN 4

Email *

Parent/Guardian Making Request *

Email Address *

Cell Phone *

Student First Name *

Student Last Name *

Homeroom Teacher *

How is your student usually dismissed at end of day? Rides Bus? Parent Pick Up in BACK of school? Goes to Catholic Charities After-Care at HES?

You must choose one of the options below.

Bus Rider (to home or outside aftercare)

Parent Pick Up in BACK of school

Catholic Charities AfterCare at HES

Choose One:

Clear selection

Student's Bus Number: Please choose your student's bus number from list below: *

Change Today's Dismissal To? (choose from list below) FOR TODAY ONLY *

If student is being picked up in the main office for an Early Dismissal, please indicate time below (No later than 2:30pm):

Time

FIRST and LAST Name of person picking student up and, if the student is returning to school, please indicate "returning"

A copy of your responses will be emailed to the address you provided.

Submit

Clear form

Never submit passwords through Google Forms.

reCAPTCHA

Privacy Terms

This form was created inside of Hillsborough Township Public Schools. Report Abuse

Forms