Hoosic Valley Central School Parent Communication Form
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Hoosic Valley Central School
Parent Communication Form
Print Child’s Name:
Grade:
Teacher:
Date: _________________________
PICK UP
BUS CHANGE
ABSENT EXCUSE
Will be picked up at
Has permission to ride the bus
Was absent from school
Dismissal by:
home from school today with:
on:__________________
___ Parent
___ Other
Reason:
Print Name
Bus Route #:___________
Print Name
□ Sitter □ Friend □ Relative
Relationship
Other: ______________________
TARDY NOTICE
EARLY DISMISSAL
LATE BUS NOTICE
Pick up time:______________
Has permission to stay after
Was late to school on:
school today for:
______________
__________________
Parent/Guardian Name
Reason:
Reason:
Teacher
_______________________
______________________
And take the last bus home.
_______________________
______________________
______________________
Bus Route #:___________
______________________
Will return □
Parent/Guardian Signature:
Phone:
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Parent category: Miscellaneous