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Early Dismissal Form
This form must be submitted before 9AM on the day student is to leave early.
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* Indicates required question
Email
*
Your email
Is this form for one student or multiple students?
*
One
Multiple students
Student's First Name
*
Your answer
Student's Last Name
*
Your answer
Student's Teacher's Last Name
*
Your answer
What time are you picking up your child?
*
Time
:
AM
PM
Full Name of siblings and teachers if Multiple students.
Your answer
The full name of parent/guardian that will be picking up student.
*
Your answer
The phone number of parent/guardian that will be picking up student.
*
Your answer
Reason for Early Dismissal
*
Your answer
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