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Dismissal Information Form
This form should be used to indicate a change in an Elementary School scholar's dismissal.
What is today's date? *
What is your phone number? *
Your answer
Who is your scholar? *
Your answer
What is your scholar's grade level? *
Which of the following categories indicates the reason for completing this form? *
Brief Explanation: I am writing this note to make you aware of the following information for TODAY ONLY... *
Your answer
Please type in your name to provide an electronic signature. *
Your answer
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