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VAN WYCK JUNIOR HIGH SCHOOL 10 HILLSIDE LAKE ROAD WAPPINGERS FALLS NEW YORK 12590 845 227-1700 PARENT PICKUP REQUEST FORM FOR USE AT REGULAR DISMISSAL AT THE OUTSIDE CIRCLE Directions Please complete the information on this form in its entirety and deliver to your child s homeroom teacher or main office before first 1st period in the morning. Student s First Name Last Name Please print Student s ID Check here for Today Only Pickup Today s date Check here for Daily Permanent Pickup Name s of...
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