SMES Change of Dismissal

Please complete this form to notify our school of a change of dismissal for your child(ren).

You must complete this form for EACH child. THIS FORM MUST BE SUBMITTED BEFORE 3:00PM ON THE DAY OF THE DISMISSAL CHANGE , in order to be processed. Please note: YOU MUST SUBMIT A CHANGE FOR EACH DAY, on the day of the change.

Any changes for Early Release Days MUST be entered by 12:30pm

Date Date / MM / DD YYYY
Student Name Student Name First Last
Student Grade
Student Number
Student's Teacher
Parent/Guardian Name Parent/Guardian Name First Last
Parent email
What is your child's REGULAR dismissal?

What is your child's REGULAR dismissal? Bus Rider Daycare van Place Car Rider Walker (Taila) Walker (Thomas) Parker Pick Up 1 Parker Pick Up 2 Staff Student
Change my child's transportation to:

Change my child's transportation to: Bus Rider Daycare Van Place Car Rider Walker Parker Pick Up 1 Parker Pick Up 2
Duration of Change

Duration of Change Today ONLY Permanent
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What is "five hundred" as a number?