Request for Release from Clinton City Schools
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REQUEST
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Choose
RENEWAL
FIRST REQUEST
STUDENT'S FIRST NAME
*
Your answer
STUDENT'S MIDDLE NAME
Your answer
STUDENT'S LAST NAME
*
Your answer
IN WHAT SCHOOL SYSTEM/SCHOOL IS YOUR CHILD PRESENTLY ENROLLED?
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Your answer
SCHOOL YOUR CHILD SHOULD ATTEND
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Choose
L.C. KERR SCHOOL
BUTLER AVENUE SCHOOL
SUNSET AVENUE ELEMENTARY SCHOOL
SAMPSON MIDDLE SCHOOL
CLINTON HIGH SCHOOL
PARENT/GUARDIAN(S) FIRST NAME
*
Your answer
PARENT/GUARDIAN(S) LAST NAME
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Your answer
MAILING ADDRESS (STREET, CITY, STATE, ZIP CODE)
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Your answer
HOME OR CELL TELEPHONE NUMBER
*
Your answer
WORK TELEPHONE NUMBER
Your answer
REASON FOR REQUEST
Your answer
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