CHIS Early Dismissal Form
Who is your child's homeroom teacher? *
What is your child's first name? *
Your answer
What is your child's last name? *
Your answer
What is the plan for your child in case of an early dismissal? (We will have school phone lines reserved for emergency purposes) If your child is a car rider, you must have the number. If there is no number, a person listed on the emergency card must pick up your child in the office with identification. *
If your child is riding a different bus, please list the bus number below.
Your answer
What is your first and last name? *
Your answer
What was the code number on your child's letter? *
Your answer
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