Ms. Mandy's Class After School Plan
Peninsula Families,

To ensure your child gets home safely from school, families must submit a dismissal plan for your student(s).

If you have a change for only one day, please call the office and the change will be implemented. Without a message to the office, we will not deviate from the plan. In the future, if there are major changes to the plan, please fill out a new form. If you would like someone to pick up your child after school, EACH person must be listed in our database.

PLEASE COMPLETE A SEPARATE ENTRY FOR EACH CHILD IN YOUR FAMILY.  

  
Sign in to Google to save your progress. Learn more
Email *
Student's First and Last Name *
Ride The Bus (Click days that apply)
Pick Up (Write name of persons who you allow to pick up your child)
YMCA (click days that apply)
Charles Jordan (click days that apply)
My 3rd-5th grade child will walk or ride a bike home without a parent or caregiver (click days that apply):
Any additional information we may need:
Submit
Clear form
Never submit passwords through Google Forms.
reCAPTCHA
PrivacyTerms
This form was created inside of Portland Public Schools.

Does this form look suspicious? Report

Google Forms