BSI Permanent Plan 2021-2022
Note: This form tells BSI what your child’s regular dismissal should be. For occasional changes from this plan, please submit a provisional dismissal form (aka dismissal change form) which can be found on our site.
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Student FIRST Name *
Student LAST Name *
Class *
Dismissal Consultant (Name & Phone #) *
Please enter a NAME and PHONE # of an adult we could call at Dismissal Time in case we need to confirm the plan for the day
Dismissal Consultant E-mail Address: *
Additional E-mail Address for Dismissal Consultant:
E-mail for Other Parent/Guardian: *
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