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MS Dismissal Form 2022-2023
Please be advised: You must notify the main office of any changes throughout the school year
Parent / Guardian Name
*
First Name
Last Name
Relationship to Student
*
Student Name
*
First Name
Last Name
Student Grade for 22-23 School Year
*
Please Select
5
6
7
8
During dismissal my child is allowed:
*
To go home alone
Not allowed to go home alone
List 3 people that are allowed to pick up your child from Inwood Academy
If there is a person who may NOT HAVE ACCESS to student please indicate below.: (Name/Relationship to Student)
Submit
Should be Empty: