2026-2027 STUDENT EARLY DISMISSAL

2026-2027 STUDENT EARLY DISMISSAL
Dear Parent/Guardian,

In the event that you need to pick your student up prior to the end of the school day for an appointment or due to illness, please complete the form below. We appreciate a minimum of a half an hour notice to insure promptness. We will arrange to have your student waiting for you in the lobby at the designated time. When you arrive, the Lobby Receptionist will release your child/ren. It is not necessary to call the school office; this form goes directly to the office and the lobby receptionist emails.
Date of Early Dismissal:

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Name of Student Being Released:

First NameLast Name
Grade of Student Being Dismissed:
Please Choose Preschool Teacher:
Please Choose Kindergarten Teacher:
Please Choose 1st Grade Teacher:
Please Choose 2nd Grade Teacher:
Please Choose 3rd Grade Teacher:
Please Choose 4th Grade Teacher:
Please Choose 5th Grade Homeroom Teacher:
Please Choose 6th Grade Homeroom Teacher:
Please Choose 7th Grade Homeroom Teacher:
Please Choose 8th Grade Homeroom Teacher:
Time of student's departure:

:HourMinutesAM/PM Option
Will your student be returning to school?
If your student is/might be returning, approximately what time will they return?
Reason for Early Dismissal:

Other
Name of Parent/Guardian picking up the student:

First NameLast Name
Parent/Guardian Email
example@example.com
Contact number of Parent/Guardian picking up the student:

Area CodePhone Number
Parent/Guardian Signature
Additional Information/Notes
Should be Empty: