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Arrowhead Change of Dismissal Form
Please use this form for dismissal changes, appointments, vacations or anything the office should know.  
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Email *
Date *
MM
/
DD
/
YYYY
Your Name *
Student's Name *
Phone number where you can be reached *
Teacher's Name / Room number *
Will be carpooled with/ date
My child has an appointment today and needs to be dismissed at (date & time).
We will be out of town from (date) to (date).
Any other information that we need to know.
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