Little River Change in Dismissal Form
Email address *
Use this form to report any changes in dismissal for your student - last minute emergency dismissals should be called into the office. PLEASE DO NOT EMAIL THE TEACHER. Thanks!
Date of Change *
MM
/
DD
/
YYYY
Student First and Last Name *
Your answer
For security purposes please enter your student's ID number *
Your answer
Teacher Name / Grade *
Your answer
Parent Name *
Your answer
Phone number where parent can be reached *
Your answer
Please describe the change in dismissal (walking home, going home with another student, etc.) If this is an early dismissal please indicate the time you are picking up your student. If this is a note for a future date please indicate the date here as well. *
Your answer
How does your student normally go home. *
Your answer
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