Please submit a separate form for each student. All changes are due by 2 pm.
Parent’s First and Last Name:
Parent’s Phone Number:
Student's First and Last Name:
Student's 8th Period Teacher:
Is This a Permanent Change?
Mode of Transportation Options:
Car Pick Up (Please provide name of person below)
Walk or Bike Home
Ride Bus (Please provide bus # below)
Please Provide Bus # or Name of Person Picking Up:
Send me a copy of my responses.
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