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UNACCOMPANIED STUDENT DISMISSAL REQUEST I, am I requesting that my child(men) listed below be permitted to leave campus unaccompanied for the 201617 school year. I understand that this request applies
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How to fill out unaccompanied student dismissal request

01
Start by downloading the unaccompanied student dismissal request form from your school's website.
02
Print out the form and gather all the necessary information, including the student's name, grade, and teacher's name.
03
Fill out the student's dismissal information, including the date, time, and reason for the request.
04
If applicable, indicate whether the student will be picked up by a designated person or if they will be leaving the school premises on their own.
05
Ensure that all contact information is provided, including phone numbers and email addresses.
06
Review the completed form for accuracy and completeness.
07
Sign and date the form to confirm that the information provided is accurate.
08
Submit the form to the school office or the designated authority as per the school's instructions.
09
Keep a copy of the filled-out form for your records.

Who needs unaccompanied student dismissal request?

01
Parents or guardians who want to authorize their child to be dismissed from school unaccompanied.
02
Students who are old enough and responsible enough to leave the school premises on their own.
03
Individuals designated by the parents or guardians to pick up the student from school.
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The unaccompanied student dismissal request is a form submitted by a parent or guardian to authorize a student to leave school premises without being accompanied by an adult.
Parents or legal guardians of the student are required to file the unaccompanied student dismissal request.
The unaccompanied student dismissal request form usually requires basic information about the student, contact details of the parent or guardian, and specific dismissal instructions.
The purpose of the unaccompanied student dismissal request is to ensure that students are safely released from school to authorized individuals.
The unaccompanied student dismissal request typically requires the student's name, grade level, dismissal time, parent/guardian contact information, and any special instructions.
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