EARLY PICKUP REQUEST FORM

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Only parents or legal guardians are authorized to complete this form. Person picking up student must present a valid driver's license at time of pickup.

STUDENTS CANNOT BE PICKED UP AFTER 1:30 p.m. After 1:30 p.m., pick up will be at the end of the school day at the main entrance.

Any student leaving before 11:26 a.m. will be marked as a half day absence.

Email *

Student's First & Last Name: *

Grade: *

Pick up date: *

YYYY

Pick up time: *

Time

Full name of person picking student up: *

Relationship to student: *

Reason for early pickup: *

Full name of person completing this form: *

Relationship to student: *

A pass will be given to your child's homeroom teacher if this form is completed before 6:30 am. If completing after this time please have your child stop in attendance to get a pass before their intended departure time.

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