Douglas School Daily Walker Form
This form is to be used to:
* change a students dismissal from a bus rider to a walker or
* to pick up a student early or
* to change WHO is picking up a student or
* to change the dismissal location of a student
The deadline to submit this form is 9:30 a.m. The form will close at that time and reopen at the end of the school day.
Email *
Date *
MM
/
DD
/
YYYY
Type of Change (Please check one) *
If Permanent Change, Please List All Applicable Days
Child's First Name *
Child's Last Name *
Child's Grade Level *
Required
Child's Teacher's Name *
Required
Dismissal Time *
Time
:
If student is being picked up by an adult, please indicate the pickup location *
If student is being picked up by an adult, please indicate the name of the person picking up
If student has permission to be released on their own, please indicate their destination
Phone Number where parent can be reached *
A copy of your responses will be emailed to the address you provided.
Submit
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