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Early Dismissal Form

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Richard Allen Preparatory Charter School Early Dismissal Form

Please note that there are no early dismissals allowed after 2:30 PM (12 PM during PSSA Testing), unless there is an emergency. In the event of an emergency-related early dismissal, please notify our main office by calling 215-878-1544, in addition to completing this form.

Date of Early Dismissal*

Answer required for "Date of Early Dismissal"

Parent/Guardian's Name*

Answer required for "Parent/Guardian's Name"

Name of Student(s)*

Answer required for "Name of Student(s)"

Please select the grade level(s) of the student(s).*

Answer required for "Please select the grade level(s) of the student(s)."

Grade 5

Grade 6

Grade 7

Grade 8

Name of the person picking up the student(s).*

Answer required for "Name of the person picking up the student(s)."

Please upload the ID of the person picking up the student(s). Students will not be released to anyone who does not provide an ID or is not listed on file as a parent, guardian, or emergency contact.*

Answer required for "Please upload the ID of the person picking up the student(s). Students will not be released to anyone who does not provide an ID or is not listed on file as a parent, guardian, or emergency contact."

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Signature*

Signature Required

Confirmation Email

Confirmation Email *

Answer required for "Confirmation Email"