Request for Waiver to be Considered for Group 4 status
This form is to be used if:
- your daughter is currently hybrid
- you would like to be considered for a waiver to be on campus four days a week

Note: To ensure as much instructional stability as possible in a complex time, return to campus options will be made available every few weeks.

G1 (last name A-K) students come to campus Monday and Tuesday
G2 (last name L-Z) students come to campus Thursday and Friday

G4 is a special waiver to return to campus all 4 days of the week. Please note that even if a G4 status is confirmed, some classes may be at capacity and your daughter will have to go to a designated site on campus to attend that course as a virtual student. G4 for status is only available through a special waiver.

PLEASE NOTE: G4 status is temporary and can be revoked. If after review dates enough G3 students choose to return to hybrid, the school may revoke G4 status of students to ensure that campus loads stay within county limits to maintain respect of social distancing requirements.

A student/family should not assume that G4 has been accepted until a confirmation has been provided by a school administrator.

Note: To ensure as much instructional stability as possible in a complex time, and change of status and cohort review considerations will only be reviewed at set dates available on the hybrid website
Parent/Guardian Email *
Student last name *
Student first name *
Student ID *
Student grade level *
Required
Request for Waiver to be Considered for Group 4 status *
I understand that even if G4 status is granted, my daughter may have some classes that do not have space for G4 students and that she will be asked to report to a specific space on campus and attend the class virtually. I further understand that G4 status is temporary and can be revoked. If after review dates enough G3 students choose to return to hybrid, the school may revoke G4 status of students to ensure that campus loads stay within county limits to maintain respect of social distancing requirements.
Explanation of request
Please provide any explanation or detail you want the school administration to have
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