2026-2027 Dismissal Information & Authorization Form

Required

2026-2027 Dismissal Information & Authorization Form

All Students, PK3-Grade 8

Please complete this form by Monday, August 31, 2026. Changes can be made as necessary during the school year through a written notification addressed to the School Office or (for daily changes) to the student's teacher.

Student Namerequired

My child is enrolled in...required

PK3 - PK4

Kindergarten - Grade 3

Grades 4 - 5

Middle School

Please list ALL PEOPLE authorized to pick up your child(ren), including parents, grandparents, older siblings, or caregivers.required

Are you forming a carpool with another family/other families? If so, please name them here.required

My child(ren) also has permission to leave campus at the end of the day on their own (walking, Metrobus, bicycle).required

Yes

Name of child(ren) with permission to leave campus.required

I/We certify that the information on this form is correct and complete and authorize St. Patrick's to dismiss my child in the manner indicated here.required