Veterans Park School Dismissal Form
Student First Name
Student Last Name
Mrs. Knox & Mrs. Douthwright (Gr 4)
Mrs. Marsh & Mrs. Canale (Gr 4)
Mrs. Sweet & Mrs. Teixeira (Gr 4)
Mrs. Lacey & Mrs. Burstein (Gr 4)
Mrs. Pecoy & Ms. Breen (Gr 5)
Mrs. Belson & Mrs. Brown (Gr 5)
Ms. James & Mrs. Rogowski (Gr 5)
Ms. McVeigh & Mrs. Irwin (Gr 5)
Date of Dismissal Change
What is the dismissal change? My child will be...
Picked up from school
A walker (walk home from school at dismissal)
Taking the bus assigned
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