Change of Dismissal Form Submit a change of dismissal online Submit a change of dismissal using our form below. Date of Change Student's First Name Student's Last Name Teacher Choose the student's homeroom teacher from the list belowAkroydAllenAngowskiBarrettBarriosBechtelCannonCarrChisolmClarkeComleyDollFarrellFierekFitzgeraldFossFrazierFriedmanGirataHendersonKrestMcAllisterMillerRobertsSalihScanlonSimpsonShartelSiskStewartTillisWalkerWesselmanWheelerYoonYost ♦ Dismissal Information ♦ My child is routinely a: Walker Bus Rider Kiss & Rider Child Care Van Rider SACC student ♦ Change Requested ♦ Requested Change ⇒ Please choose the type of change you are requesting, then enter the missing information below (name of student, bus #, etc.) Please choose the requested change below.Meet parents at Kiss and RideMeet _____ at Kiss and RideGet off bus (at different stop) with _____Take bus home with _____Walk home with _____Pickup early in the office at _____ (before 3:30pm) Missing Information ♦ ♦ ♦ Please Note: If your child is going home with a friend, then notes from both families are required to approve a change in dismissal. If the school is unable to process this request, please call me at the phone number listed below. ♦ ♦ ♦ Parent/Guardian First Name Parent/Guardian Last Name Parent/Guardian Telephone Number Parent/Guardian Email Address
