DDES Change of Dismissal Form
Please complete this form in its entirety for any change of dismissal. All requests for dismissal changes must be submitted to the office no later than 3:15 pm. Questions? Please contact the office at 919-233-4200.
Email address *
Today's Date *
MM
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DD
/
YYYY
Person Completing Form *
Your answer
Student's Name *
Your answer
Teacher / Grade *
Your answer
Dismissal change is for: *
Required
Dismissal Change Option *
Required
Parent Contact Telephone Number *
Please provide a telephone number where we may contact you, if necessary.
Your answer
Any additional information
Your answer
A copy of your responses will be emailed to the address you provided.
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