PDES Dismissal Form SY 23-24

JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.

Please use this dismissal form in the event of a day of dismissal change that does not allow for a written note to be sent in to your child's teacher. Please fill out one form for each child's dismissal being changed.

Please choose one of the "TODAY" options for today only. If you choose an "EVERY DAY" option, this will change your child's plan for every day moving forward. If you require a change other than these options provide, please use the TODAY option for today and send a written note in with your child tomorrow that explains what you need moving forward.

Forms submitted after 1pm may not be received.

Student First Name *

Student Last Name *

Day of Dismissal Change (mm/dd/yyyy) *

YYYY

Grade & Teacher *

PK - Boundy

PK - Holmes

PK - Lonergan

PK - MacQueen

K - Casey

K - Girard

K - Rekos

1 - Amalfetano

1- Dolan

1 - Perrin

2 - Farrelly

2 - Iverson

2 - Porcaro

2 - Towle

3 - Alves

3 - Holden

3 - Rosen

4 - Rollins

4 - Turcotte

4 - Willett

5 - Carr

5 - Chadwick

5 - DeFeo

5 - DiGioia

Please dismiss the above named student *

Early Dismissal

Pick up TODAY at 3:13

Bus TODAY

Walker TODAY

YMCA TODAY

Pick up EVERY DAY until further notice

Bus EVERY DAY until further notice

Walker EVERY DAY until further notice

YMCA EVERY DAY until further notice

If early dismissal please state the time:

If pickup, state who will pick up. Must be listed in Skyward and/or have pickup placard. *

Parent/Guardian Name: *

Parent/Guardian Phone Number: *

Submit

Clear form

Never submit passwords through Google Forms.

This form was created inside of South Kingstown School District. Report Abuse

Forms