Change of Dismissal Form
This form is used to change your child's usual dismissal plans. It must be submitted by 2:00 pm. Changes to dismissal after 2:00 pm will only be accepted for emergencies and must be done by phone.

Este formulrio será usado en cualquier cambio de salida de su hijo. Deberá ser entregado antes de las 2:00 pm. Cualquier cambio despues de las 2:00 pm solo será aceptado por emergencia y deberá ser hecho por telefono.
Email address *
Start Date for change in dismissal (fecha de inicio por cambio de salida) *
MM
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DD
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YYYY
End Date for change in dismissal if more than 1 day (fecha final por cambio de salida si por más de 1 día)
MM
/
DD
/
YYYY
Please provide the phone # can we reach you on today if there are any questions/problems with this change of dismissal? (Por favor proveer el numero de telefono al que lo podemos llamar el dia de hoy por alguna pregunta o problema con el cambio de salida a de su hijo(a)) *
Your answer
Child's First and Last Name (Nombre del niño(a)) *
Your answer
Child's Teacher (Profesor del niño(a). Solo marque una opcion.) *
This day my child will (Este dia mi hijo(a)) *
Please provide details about the dismissal change: who will pickup, whose house are they going to, etc. (Proporcione detalles sobre el cambio de salida: quién recogerá, a qué casa irán, etc.) *
Your answer
This form was filled out by (Este formulario lo completo:) *
Name of person filling out this form (Nombre de la persona que lleno este formulario) *
Your answer
ONLY FOR OYSTERPONDS STAFF: If this form is filled out by an Oysterponds Staff Member, please put the name of the Parent/Guardian who requested the dismissal change here.
Your answer
A copy of your responses will be emailed to the address you provided.
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