ST. MARY'S CATHOLIC SCHOOL
611 S.W "A"AVENUE LAWTON, OKLAHOMA 73501 TEL. 580-355-5288
saintmarysknights@juno.com www.stmaryslawtonok.com
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When the bell rings for afternoon dismissal at 3:25 p.m., students from fourth through eighth grade may be released on their own volition with permission from a parent or guardian.
Older students may pick up younger siblings by filling out the information below. Any student not picked up within ten minutes of dismissal will go to after school care.
Those parents/guardians who wish for their children to be dismissed on their own volition shall acknowledge that St. Mary’s Catholic School cannot guarantee safe arrival to any destination beyond that of the dismissal area and are hereby released of liability regarding the student(s) listed below.
Please complete and sign this form if you wish for your child to be released on his or her own volition ( without parent or guardian to physically collect the child from the classroom).
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Student Name PLEASE PRINT
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Younger Sibling PLEASE PRINT
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Younger Sibling PLEASE PRINT
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Younger Sibling PLEASE PRINT
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Parent/Guardian PLEASE PRINT
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Parent/Guardian Signature Date