Early Dismissal or Change in Transportation Form

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Please submit your Change of Transportation Form by 1 p.m.on the day of the transportation change.

Note: There will be NO guest bus riders for this school year 2021-2022.

Date that student's dismissal or transportation routine will change

Student's First Name

Student's Last Name

Grade

Homeroom Teacher

If Early Dismissal (must be by 3:30 p.m.), what is the dismissal time?

If Change in Transportation, what is the new transportation?

Notes

Parent/Guardian Name

Parent/Guardian Email Address

Phone Number

By submitting this form, you are confirming that you are the parent or legal guardian of the student