Dismissal Change form 2025-2026
Please complete this form if your child has a change to their usual dismissal routine.  
Changes should be entered into this form no later than 12:00 the school day on which the change is occurring.
Classroom teachers will be made aware of the change prior to dismissal.
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Email *
Name of Parent/Guardian completing the form *
Child's first and last name *
Classroom Teacher *
Date Dismissal Change is taking place *
MM
/
DD
/
YYYY
New dismissal instructions and reason for change
 *
Is this a recurring/permanent change to your child's default dismissal plan?

NOTE: Only change your default plan for long term recurring changes.  For any changes that will reoccur just a few times, please fill out a change form for each date the change will occur. This will ensure that classroom teachers are informed of the changes at dismissal on the correct day(s).  Thank you.
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