Change in Dismissal / Transportation Form

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Complete this form to request a change in dismissal routine OR early pick up for your child. If possible, all website form requests should be made before 2:30 p.m. 
If you need to add additional students please write them in the space above. Please remember if this change involves additional children that are not your own, you may list ALL involved students and their homeroom teachers here, but we will also need a matching form request made by each of their parent/guardian(s) separately.
Parent/Guardian Contact Information  
Parent or Guardian Telephone Number
If your child routinely attends SACC or another child care company please notify them. Please notify that your child will not attend SACC today.  
Early Dismissal