Dismissal Form

LALIBERTE ELEMENTARY SCHOOL

DISMISSAL NOTIFICATION FORM

 

 

Date:                                                               

Child’s Full Name:                                                                                                                              

Teacher’s Name:                                                                                                                                 

    My child will be picked up early today.  He/She will be dismissed at (time)                             by                                                                                                                              .

    My child will be dismissed with the walkers                                                   (check here).

    My child will be picked up at the end of the day by:

                                                                                                                                               .

 

NOTE:  All children being picked up at the end of the day will be outside where school personnel will be located at 3:20 p.m.

 

Parent Signature:                                                                                                                     

 

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LALIBERTE ELEMENTARY SCHOOL

DISMISSAL NOTIFICATION FORM

 

 

Date:                                                               

Child’s Full Name:                                                                                                                              

Teacher’s Name:                                                                                                                                 

    My child will be picked up early today.  He/She will be dismissed at (time)                             by                                                                                                                              .

    My child will be dismissed with the walkers                                                   (check here).

    My child will be picked up at the end of the day by:

                                                                                                                                               .

 

NOTE:  All children being picked up at the end of the day will be outside where school personnel will be located at 3:20 p.m.

 

Parent Signature:                                                                                                                     

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