Not Returning to CCSD66
Only complete this form if your child(ren) are leaving Center Cass School District this summer.  Please complete this form for each of your children.
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Student Last Name *
Student First Name *
First and Last Name of Person Completing this Form. *
Email Address of Person Completing this Form. *
Phone Number of Person Completing this Form. *
Current (2023-24) Grade Level *
In the space below, provide any additional information you would like to share. For example, you may include the name of the school your child will be attending or where your family is relocating.
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