Parent/Guardian One Day Pickup Form
This online form must be completed by 1pm (Monday, Tuesday, Thursday and Friday). Please call the Gates Office at 978-266-2570 if your request is after these times.

Please use to request one-day parent/guardian pickup. Please call the Gates Office to receive your Family PickUp Number. Please display number in car windshield when driving through the car line. Students will be sent out to your car when you arrive. If picking up student before dismissal time, please come to front door and ring the bell, we will send your student out to you.

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Today's Date
MM
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DD
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YYYY
Family PickUp Number *
Student Last Name *
Student First Name *
Teacher Name/Rm # (Grade) *
One Day Pick Up Date *
MM
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DD
/
YYYY
Dismissal Pick-Up Time *
Select yes if student(s) is/are to be picked up at dismissal time, if no indicate time below.
Pick-Up Time
Time
:
Person Picking Student Up *
You must select "YES" to electronically sign this request. *
Submit
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