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Request for Change in Dismissal
************IMPORTANT!!!!!!!!!!!!!!!
NO ONE WILL CHECK THIS FORM AFTER 12:00 EACH DAY. NO CHANGES WILL BE ACKNOWLEDGED OR FOLLOWED IF THIS FORM IS FILLED OUT AFTER 12:00 PM. IF CHANGES NEED TO BE MADE AFTER 12:00 PM, YOU MUST EMAIL YOUR CHILD'S TEACHER & THE SCHOOL SECRETARY AND CALL THE MAIN OFFICE AT HES - 908-431-6600 - OPTION 4, THEN 2, THEN 4 TO CONFIRM RECEIPT.
Parent/Guardian making request: *
Your answer
Email address *
Your answer
Cell Phone *
Your answer
First Name of Student *
Your answer
Last Name of Student *
Your answer
Homeroom Teacher's Name *
Date change is to be made (only make changes for the current school day, or if making request after 12:00 pm, for the next school day) *
MM
/
DD
/
YYYY
Typical Dismissal for student
You must choose one of the options below.
Bus Rider
Parent Pick Up
CC AfterCare at HES
Choose One:
Child's bus number: *
Your answer
Dismissal Plan for the date requested? *
If your child is being picked up in the main office for an Early Dismissal, please indicate time below:
Time
:
If student will be picked up in the back of the school please note the full name of the person picking up your child and their cell phone below:
Your answer
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