Request for Change to TODAY'S Dismissal - submit by 11am
*****IMPORTANT!!!!*****  THIS FORM IS TO BE USED FOR TODAY'S DISMISSAL ONLY.  PLEASE SUBMIT BY NO LATER THAN 11:00 AM.  FORM WILL CONTINUE TO BE CHECKED UNTIL 2:00 PM, BUT HAVING IT FILLED BY 11AM ALLOWS US TO NOTIFY STAFF OF CHANGE EASILY.  NO CHANGES WILL BE ACKNOWLEDGED OR FOLLOWED IF THIS FORM IS FILLED OUT AFTER 2:00 PM.  IF THERE IS AN EMERGENCY & A DISMISSAL CHANGE NEEDS TO BE MADE AFTER 2:00 PM, YOU MUST CALL THE MAIN OFFICE AT HES -  908-431-6600 - OPTION 4, THEN 2, THEN 4      

*Please also email your child's teacher to let them know of the change and to confirm that you filled out form.     Thank you.
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Email *
Student's Bus Number:  Please choose your student's bus number from list below: *
STUDENT'S Last Name *
STUDENT'S First Name *
Homeroom Teacher *
How is your student usually dismissed at end of day? Rides Bus? Parent Pick Up in BACK of school?  Goes to Catholic Charities After School Program at HES? *
You must choose one of the options below.
Bus Rider (to home or outside aftercare)
Parent Pick Up in BACK of school
Catholic Charities After School at HES
Choose One:
Change Today's Dismissal To? (choose from list below) FOR TODAY ONLY *
If student is being picked up in the Main Office Security Vestibule for an Early Dismissal, please indicate time below (No later than 2:30pm):
Time
:
FIRST and LAST Name of person picking student up at HES - please ONLY provide NAME if EARLY DISMISSAL OR PARENT PICK UP AT DISMISSAL otherwise indicate N/A if this is not a request for picking up.  (Please be prepared to show ID to HES staff if picking up) *
If the student is returning to school today, please indicate "returning" and approximate time.
Additional Comments (if necessary) PLEASE DO NOT USE THIS FORM TO ADVISE OF PERMANENT DISMISSAL CHANGE....PLEASE EMAIL MAIN OFFICE
First & Last NAME of Parent or Guardian Making Request *
Cell Phone *
A copy of your responses will be emailed to the address you provided.
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