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Parental/Guardian Student Request to Attend RR
Please complete the following form to be considered for enrollment at Rock River School.
Email address *
Student(s) Name(s) *
Your answer
Parent/Guardian(s) Name(s) *
Your answer
School Year *
Your answer
Last School Attended *
Your answer
Date of Birth of Student(s) *
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DD
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Last Grade Completed *
Your answer
Address *
Your answer
City *
Your answer
State *
Your answer
Zip Code *
Your answer
Home Phone *
Your answer
Day Phone *
Your answer
Cell Phone *
Your answer
We, the parent(s)/guardian(s) of the student(s) named above request that he/she be permitted to attend Rock River School for the school year indicated above. We understand that Rock River School is a small K-12 grade school located 40 miles north of Laramie. In order to have this unique schooling arrangement work, several ground rules have been established regarding student behavior, transportation, and activities. *
Required
Conduct required of students attending Rock River School is set forth in the student handbook. The handbook can be accessed through our website and will be reviewed at the time of the interview. As parent(s)/guardian(s), we agree that good student behavior must be exhibited by our student(s) at all times when our student is transported on the bus, at school, or while attending school activities. We understand that a conference between our student'(s) current principal and the Rock River School principal will be held to evaluate this request, and that either principal may deny the request. At this conference there will be a review of our student'(s) academic record, behavioral record, and other school records. Decisions by the principal are final. *
Required
If a Laramie or Medicine Bow student incurs a disciplinary punishment that results in out-of-school suspension, the privilege of attending Rock River School may be forfeited. A student who is suspended for drugs, alcohol, or violent behavior may be returned immediately, following completion of the suspension, to their home school of residence. *
Required
Is your child on an Individualized Education Plan (IEP) or 504 Plan? *
Required
If yes, what services do they receive? *
Your answer
Has your child ever been suspended or expelled? *
Required
If yes, please explain: *
Your answer
Has the current principal of this student been notified of this request? *
Required
If request is denied, the reason will be explained to the applicant(s).
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Student Signature (Please type name) *
Your answer
Parent/Guardian Signature (Please type name) *
Your answer
Rock River Principal Signature
Your answer
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