Physical Education Permanent Exemption
School Site: Burton High School
Counselor: Ms. Osbay-Bell
Site Principal: Ms. Suniqua Thomas
Grade: 11th
Email address *
PE Permanent Exemption Form
Student Last Name, First Name
Student ID (HO Number)
Student's Address
Student Signature by typing initials below means: I am requesting this exemption. I understand that this exemption is temporary and that PR is required to graduate.
Today's date
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This form was created inside of San Francisco Unified School District.