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Early Dismissal
Correo electrónico
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Email
*
Your email
Student Name/Nombre del alumno:
*
Your answer
Prescheduled/Programado?
Yes
No
Other:
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Date/Fecha:
*
MM
/
DD
/
YYYY
Reason for early dismissal/Motivo de la salida anticipada:
*
Your answer
Time of early dismissal
Hora de salida anticipada
*
Your answer
Escort Name/Nombre del acompañante:
*
Your answer
SCHOOL USE ONLY/
SÓLO PARA USO ESCOLAR
Check that the escort is authorized to pick up student.
*
If their name is not on the list, the student will not be allowed to leave.
Any escort other than the legal parent/guardian must show ID.
Yes
No
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