Student's Intention for the 2024-25 School Year

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You only need to complete this form if your student will NOT be returning to Haycock or going to Longfellow Middle School (6th grader) next year. One form should be completed for each student. This information is essential because staffing is based on enrollment. Thank you for your time!

Child's Last Name *

Child's First Name
*

Current Grade Level for 2024-25
*

Teacher's Name
*

Parent Name: (first and last)
*

Parent email
*

Intention for the next school year 2024-25
*

We are moving and will attend another FCPS school.

We are transferring to a nonpublic school (includes Home School).

We are transferring to another public school division in Virginia.

We are transferring to a public school division in the U.S.

We will be moving out of the country for work or for other reasons.

Name of Next School
*

Additional Notes:

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