22-23 WP Change in After School Plans
Please use this form to submit any changes to your student's after school plans. Changes can be submitted up to 1:00 pm on the day of the change in dismissal.  

1.  Please do not submit changes after 1pm on the day of the change; after 1 pm you should contact our front office at 404-370-4490.  

2. A form must be filled out for each sibling/student.
 
3. The school does not notify after school providers of a student's absence.

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Student Name *
Teacher Name *
Guardian Name *
Guardian contact number *
We will use this number to reach you in case your child does not get picked up.
Is this a permanent change? *
Date of Pick-Up Change *
If this is a temporary change, this will be the only date the change is in effect.  If this is a permanent change, this will be the date that the change begins.
MM
/
DD
/
YYYY
What is your child's regular, or current dismissal plan? *
What is the new dismissal plan? *
Name of Alternate Person picking up your student *
This person should be prepared to show their identification.
Required
Contact Number of Alternate Person picking up your student *
Required
Is there anything else we need to know?
Reminder: Please do not submit this form if you are making a dismissal change for today and it is after 1pm.  Please contact our front office at 404-370-4490 so that we can communicate the change to your child's teacher.  Thank you for submitting this information!
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