STUDENT PICK UP FORM
If you have a student who will be picked up from our car rider line at the end of the day, please submit your request here.  Students will be dismissed at 3:25 PM daily.

If your student is being picked up mid-day, please submit the time and reason below. Please make sure you have your ID. Identification is required for student pick up. 

*** You must fill out this form for each student you are picking up. DO NOT put multiple student names on this form. ***

Please submit form by 2:00 PM the day it is occurring. Please call the office for any changes after 2 PM daily.
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Student Name *
Name of person picking up student(s)- For car dismissal please display the student name placard on the dash of your car. Please note we do require ID for office early dismissal pick up or missing car placards.  *
Grade Level *
Classroom Teacher Name *
Student pick up request (please choose one)
 *
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