Centreville Elementary School

Emergency Dismissal Form

              The Bibb County Board of Education determines when school should be dismissed early for any reason.  In the event that school officials determine that school should be dismissed prior to normal dismissal time, Centreville Elementary School will implement the following:

Student Name_________________________________

  Check one of the following:

1.____ My child rides the bus and should be placed on the bus.  Do not list persons to call if you check this line.

2.____ My child is a car rider.  Please call the phone numbers listed below.

3.____ My child rides the bus, but I want him/her to remain at school.  Please call the following person/persons listed below to come to the school and get them.

            The people listed below are the people we will contact.  When a person has been contacted, your child will be checked out by that person or his/her representative.

  LIST NUMBERS IN THE ORDER IN WHICH WE ARE TO CALL

Name_____________________________ Phone #____________________

Name_____________________________ Phone #____________________

Name_____________________________ Phone #____________________

Name_____________________________ Phone #____________________

Parent Signature ______________________________

Date________________________

Date of last update Monday June 30, 2008