Request for Change in Dismissal Plans
****IMPORTANT!!! ***
NO ONE WILL CHECK THIS FORM AFTER 2:45 EACH DAY. NO CHANGES WILL BE ACKNOWLEDGED/FOLLOWED IF CHANGES ARE MADE AFTER 2:45 FOR THE CURRENT DAY.
Email address *
First Name of Student *
Your answer
Last Name of Student *
Your answer
Homeroom Teacher's Name *
Name of parent/guardian making the request *
Your answer
On the date selected below, my child's dismissal plan will be: *
A separate request will be needed for each day the plan is different than the plan on file.
MM
/
DD
/
YYYY
What is the dismissal plan for the selected day? *
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