*
Required
Change of Going Home Plan; Submit before 2PM to guarantee change
Student Last Name
*
required
Student First Name
*
required
Student Grade*
Kindergarten
1st Grade
2nd Grade
3rd Grade
4th Grade
5th Grade
7th / 8th Grade
Kindergarten Teacher
*
required
Please Select…
Hilger, Elizabeth
Lane, Jennifer
Swygard, Kerri
Tonges, Jennifer
West, Makenna
1st Grade Teacher
*
required
Please Select…
Bruskotter, Sarah
Grock, Amanda
Malony, Amy
Sexton, Katie
Strozeski, Rachel
2nd Grade Teacher
*
required
Please Select…
Dowd, Susie
Okazaki, Claire
Phillips, Megan
Roberson, Hailey
Sutton, Amanda
3rd Grade Teacher
*
required
Please Select…
Lane, Abi
Cheryl Mandell
McGuire, Sara
Rinaker, Nate
Ross, Lexi
4th Grade Teacher
*
required
Please Select…
Aivazis, Adriana
Ashbrook, Susan
Crnich, Larry
Marr, Ali
Mclaughlin, Cheryl
5th Grade Teacher
*
required
Please Select…
Chamberlin, Paul
Gallardo, Amber
Lamb, Cathy
Marlin, Julia
Yeager, Courtney
8th Grade Teacher
*
required
Please Select…
Manuel, Sarah
Tong, Xavier
Is this a permanent change?*
No
Yes
Which days?*
Monday
Tuesday
Wednesday
Thursday
Friday
Today Only?*
Yes
No
Dates?
*
required
Beginning ?
*
required
(mm/dd/yyyy)
My Child will be
*
required
Please Select…
car pick up.
going home with a friend in the car pick up area
car pick up by an adult other than the parent/guardian.
going home by bus.
going home with a friend by bus.
going to daycare.
walking home with Parent pick up
walking home alone
walking home with another student
picked up early.
What time?
*
required
Parents/guardians and or/emergency contacts MUST sign student out in the front office. Students will only be called from the classroom once an adult arrives to pick them up.
Childcare Name
*
required
Please Select…
Bethany Childcare
Club BV
Kindercare
Sun Academy
YMCA
Other
Name of Childcare
*
required
Childcare Phone Number:
*
required
Friend's Last Name
*
required
Friend's First Name
*
required
Friend's Teacher
*
required
person picking up student
*
required
Bus Number
*
required
Additional Comments
Please send a confirmation email to the address below*: