Eleanor Roosevelt Elementary Notes From Home

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Please use this form to notify the office of a change in dismissal for your student. All notifications must be timestamped by 12 PM of the day you are making the change to dismissal. If you need to make a change after that time, please call the office at 215-428-4256.

电子邮件地址 *

Name of person filling out this from. *

Date of dismissal change:

年

月

日

Student's Name (First & Last) *

Please identify your student's homeroom teacher. *

My student will be... *

leaving school early.

picked up by someone other than parent/guardian...

going home with another student...

bringing home another student...

picked up at normal dismissal time.

not attending KidsCare/after school activity

其他:

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表单

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