Daily Dismissal Form
In an effort to ensure that our daily dismissal is as smooth and comfortable as possible for our students we are asking that all parents please take a moment to fill out and submit this form to our office no later than August 26, 2019.

When completing the chart below please inform us of your child’s normal weekly routine for end of day dismissal. If your child will be taking an alternate bus home, please indicate the bus number and address below.

We understand that at times your child’s routine may change. When this occurs we ask that you send a note in to your child’s teacher on the day of the change. If you will have a permanent change to your child’s routine we ask that you call the office and send a note in with your child.

Thank you,
Lyn Sullivan and Karen Christmas, Administrative Assistants

Student First Name *
Your answer
Student Last Name *
Your answer
Student Grade *
Student Teacher *
Your answer
Dismissal Preference
Please indicate below whether your child will be a pick up, walker, Champions or bus with number in the other field (include number) for each day.
Monday: *
Monday Bus Drop Off Number and Address:
Your answer
Tuesday: *
Tuesday Bus Drop Off Number and Address:
Your answer
Wednesday: *
Wednesday Bus Drop Off Number and Address:
Your answer
Thursday: *
Thursday Bus Drop Off Number and Address:
Your answer
Friday: *
Friday Bus Drop Off Number and Address:
Your answer
Parent/Guardian Name: *
Your answer
Parent/Guardian Phone Number: *
Your answer
Submit
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