Out of District Waiver Request
This form is for non-resident student enrollment for the 2021-2022 school year. A waiver for each student must be submitted and approved each school year before September 1 to attend. More instructions will be included on subsequent pages depending on the type of waiver you select below.

Application forms for In-District transfers and Out-of-District waiver requests will be available online only April 1, 2021-September 1, 2021. Requests will be received, approved and placed on a time-stamped, first come first served basis, according to priority level and space availability. Your child should not enroll during regular enrollment online or at their school until placement is determined and you are notified. If approved, your child's placement must be accepted, confirmed and enrolled within in two business days from the confirmation of approval notification. Questions? Contact Christine Pitzer, cpitzer@usd260.com.
Email *
Never submit passwords through Google Forms.
This form was created inside of Derby Public Schools. Report Abuse