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Dismissal Form
Please be advised: Any changes throughout the school year must be reported to the main office. For elementary school pick-ups, a valid photo ID is required.
Parent / Guardian Name
*
First Name
Last Name
Relationship to Student
*
Student Name
*
First Name
Last Name
Student Grade for 25-26 School Year
*
Please Select
K
1
2
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: