Absence & Alternate Dismissal Form
Please use this form for submitting information regarding full-day absences, late arrivals, early departures, mid-day appointments, or a change in dismissal plans from the ordinary.
Any alternate dismissal plan information must be received by 2p on the day of plan implementation. Emergencies that arise after 2p (12p on Fridays) should be shared by calling the office directly at 812.558.0041.
PLEASE COMPLETE A SEPARATE FORM FOR EACH CHILD FOR WHOM THIS APPLIES, AND FOR EACH DATE OF ABSENCE.
Child LAST Name
Child FIRST Name
Please select the classroom associated with your child's LEAD TEACHER.
Kindergarten - Liz
1/2 - Alanna
1/2 - Em
1/2 - Josie
3/4 - Kandi & Foster
3/4 - Sarah
5/6 - Abbey
5/6 - Riley
7/8 - John
7/8 - Kalei
7/8 - Tarrey
Parent/Guardian First & Last Name
Parent/Guardian Preferred Contact Info To Use Regarding This Absence
I need to speak to someone about this absence or plan change
Nature of Absence or Dismissal Change
Mid-Day Leave & Return
Alternate Dismissal Plan
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