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Clearview Elementary School Transportation Change/Early Dismissal Request Form Date of Change Student s Name Teacher I authorize this transportation/dismissal change for my child today Parent or Guardian Signature 1 PLEASE CIRCLE CHILD S USUAL FORM OF DISMISSAL BUS WALK/BIKE KISS RIDE LOBBY SACC 2 PLEASE CIRCLE TODAY S TRANSPORTATION CHANGE LOBBY PICK-UP OR EARLY DISMISSAL WRITE PICK-UP TIME OR AFTER SCHOOL ACTIVITY OR BRINGING HOME FRIEND S ALL .

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