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Alternative After-school Pick-up Form
Please use this form to document your child(ren)'s alternative pickup procedure.
This form should be used to notify the school of the following:
Friday Carpools
Change in pick-up person
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* Indicates required question
Email
*
Your email
Name of Parent/Guardian filling this form
(first & last name)
*
Your answer
YOUR
Family Dash Number
*
Your answer
Date of Pickup Arrangement
*
MM
/
DD
/
YYYY
Time of Pickup Arrangement
*
Time
:
AM
PM
OTHER
Family Dash Number
(enter '000' if non-AFA)
*
Your answer
Name(s) & Grade(s) of your child(ren) that are affected by this change
*
Your answer
Name of Adult picking up your child(ren)
(first & last name)
*
Your answer
Additional Comments
Your answer
A copy of your responses will be emailed to the address you provided.
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