3rd 2025-2026 Change in Dismissal Notification
If a change to dismissal is necessary, please fill out this form no later than 2:35 p.m. on the date of the change.  Please indicate if this is a change for the day or permanently.
If this form is filled out after 2:35 p.m. there is a chance that the teacher will not receive the information in time.
Email *
3rd Grade Teacher *
Student ID#
Student First and Last Name *
Parent/Guardian First and Last Name
 *
Parent/Guardian Email Address
 *
Parent/Guardian Phone # *
Is this a change for TODAY or PERMANENT? *
How will your child go home? *
If Daycare, what is the name of the Daycare?  
A copy of your responses will be emailed to .
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