Change in Dismissal Form
Please fill out this form if you would like to change your child's dismissal for the day, week or on a permanent basis. Requests for a daily change MUST be received before 2:00 p.m. the day of the change. Please do not call the office or email the teacher as we cannot guarantee that the information will be processed. As always, you may send in a written note with dismissal changes to the office.
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Email *
Date For Change
MM
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DD
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YYYY
Child's First Name:
Child's Last Name:
Child's Teacher:

Check only one box
Change requested:
Time of early dismissal (note: must be before 3:00 for regular dismissal or 12:30 for early dismissal days)
What type of change is this? If other, specify date or date range
Email
An email will be sent only if the office has a question
A copy of your responses will be emailed to the address you provided.
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