BROWNRIDGE- York Region District School Board
Elementary Learning Model Change Form
𝐃𝐚𝐭𝐚 𝐂𝐨𝐥𝐥𝐞𝐜𝐭𝐢𝐨𝐧 𝐍𝐨𝐭𝐢𝐟𝐢𝐜𝐚𝐭𝐢𝐨𝐧
Authorization for the collection of this information is in the Education Act, the Municipal Freedom of Information and Protection of Privacy Act, as amended. Users of this information include but are not limited to the Principal of your child’s school. This form will be kept for a minimum period of one calendar year. Contact person concerning this collection is the home school principal.
1. Student First Name
2. Student Last Name
3. Parent/Guardian Contact Email
4. Parent/Guardian Contact Name
5. What grade is your child in this school year?
a. Junior Kindergarten
b. Senior Kindergarten
c. Grade 1
d. Grade 2
e. Grade 3
f. Grade 4
g. Grade 5
h. Grade 6
i. Grade 7
j. Grade 8
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This form was created inside of York Region District School Board.