Colonial Elementary School Dismissal Change Form

Student First Namerequired

Student Last Namerequired

Teacherrequired

Room Numberrequired

Dates of Changerequired

Choose one.

Student Will Be Changing To:required

Walker

Carline pick up by parent/guardian

Carline pick-up by other adult

Taking assigned bus home

Attending Wonderspring

Taking van to childcare, religious school, etc.

Other

Please be specific.required

Name of Adult Picking up Student (must be listed in PowerSchool and bring identification)required

First Name

Last Name

Student's Bus Numberrequired

Parent/Guardian Namerequired

Parent/Guardian Email required

NOTE: The parent/guardian email address may be checked against school records.

Today's Daterequired

Must contain a date in M/D/YYYY format

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