JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
Bus Book dismissal plan change for the day
Changes must be made before
12:00pm
. Only complete this form if there is a change to the end of day dismissal. Please complete for the current week.
Sign in to Google
to save your progress.
Learn more
* Indicates required question
Email
*
Your email
STUDENT NAME /GRADE /TEACHER
*
Your answer
PARENT /GUARDIAN NAME
*
Your answer
Date of Change
*
MM
/
DD
/
YYYY
Thursday Back to School Night
2:30 bus
2:30 valet
Kids 4 College
Childcare
Clear selection
Regular dismissal
2:30 bus
2:30 valet
2:30 kids 4 college
Clear selection
TUESDAY DISMISSAL
1:30 bus
1:30 valet
1:30 kids 4 college
Clear selection
Tuesday Musical Theater
Wilshire Crest late bus
Windsor Hills late bus
Chandler late bus
Kids 4 college
Valet
Clear selection
Thursday Musical Theater
Kids 4 College
Valet
Clear selection
Special instructions if not listed
Your answer
Authorized pick-up person for valet if someone different is picking up your child
Your answer
Signature
*
Your answer
A copy of your responses will be emailed to the address you provided.
Submit
Clear form
Never submit passwords through Google Forms.
reCAPTCHA
Privacy
Terms
This form was created inside of LAUSD.
Does this form look suspicious?
Report
Forms
Help and feedback
Contact form owner
Help Forms improve
Report
