WES Daily Parent Pickup Form 
Please complete this form every time your child is picked up from school when it is not an already scheduled pickup day. Please complete this form by 10:00 AM on the day your child is to be picked up. This form may be used for early pick-ups or end of day pick-ups. We will NOT be accepting hand-written notes sent to teachers or to the office this year. Thank you for your cooperation as we begin this new process.

THIS FORM MAY NOT BE SUBMITTED AFTER 10:00 AM. IF YOU ARE CHANGING YOUR DISMISSAL PLANS AFTER THAT TIME, PLEASE CALL THE OFFICE. 
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Date you will be picking up your child.  *
MM
/
DD
/
YYYY
Student Last Name *
Student First Name *
Teacher Last Name *
Pick-Up Person First and Last Name *
Pick-Up Person Relationship *
Pick-Up Time *
Parent Name (if different than Pickup Person)
Parent Phone Number *
Submit
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