Early Dismissal Form
BLA ENCOURAGES STUDENTS TO BE PRESENT FOR THEIR FULL INSTRUCTIONAL TIME, AND ASKS THAT EVERY CONSIDERATION BE MADE TO AVOID EARLY DISMISSAL AND MISSED INSTRUCTIONAL TIME.

Complete the form 24 hours in advance for student early pick-up.

BE ADVISED THAT EARLY DISMISSAL ENDS AT 1:15pm.

Parent/Guardian must come into the main office to pickup their student at the time requested.

After 1:15 you will not be permitted into the building.

We appreciate your cooperation.
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Email *
Student First Name *
Student Last Name *
Student ID number
Grade level *
Parent/Guardian First Name *
Parent/Guardian Last Name *
Parent Guardian Phone Number
 *
Full name of the person picking the student up and relation (if other than you, person must be listed on ASPEN)
Early Dismissal Date *
MM
/
DD
/
YYYY
Expected pick up time *
Time
:
Reason for early dismissal *
By checking the yes box you agree to Boston Latin Academy's early dismissal policy.
 *
Required
NOTE: Students are not to sign themselves out. Parents/Families/Guardians must still come into the building to sign the student out.
Call the main office at 617-635-9957 if you have any questions.
A copy of your responses will be emailed to the address you provided.
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