Dismissal Pad Order Form

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Use this form to order dismissal pads for your student at SLS or RSS. It makes it easy to send in to school when you are dismissing early or changing how they are getting home! Each pad comes with 50 pages. Once we have received your payment we will send them home with your student in their backpack unless stated otherwise in the notes section below.

Dismissal pad picture

Your Name

Student Name

Which school do you want the dismissal pads sent to?

Shaker Lane

Russell Street

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Teacher Name *

How many pads would you like?

one for $3

two for $5

Please pay by sending in cash or check with your student.

Cash

Check

Venmo @LittletonPTA01460 (please put your student's name, teacher and "dismissal pads" in the notes section)

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Notes:

Submit

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