Pennsbury School District Assignment To School Request Form

Requests for assignment to a school outside of a student's designated attendance zone will be considered only under the circumstances outlined in Pennsbury School District Board Policy 206.

Please complete this form if you are requesting that your child attend a Pennsbury School District school other than the school assigned to your residence address.

All requests will be reviewed by the Student Services Department in accordance with Board Policy 206 and applicable district guidelines. Submission of this form does not guarantee approval. Once a determination has been made, the parent/guardian submitting the request will be notified in writing.

Important Information:

  • Assignment To School requests are considered on a case-by-case basis.
  • Approval is subject to district policies, enrollment capacity, staffing, and other relevant factors.
  • If an attendance exception is approved, transportation to and from school is the responsibility of the parent/guardian. The Pennsbury School District will not provide transportation for approved attendance exceptions.
  • Attendance exceptions may be granted for a specific school year and may require annual renewal.
Please provide complete and accurate information when completing this request. 
 
If you have any questions, please contact Joy in the Student Services Department at 215-428-4100 ext. 10021.
Sign in to Google to save your progress. Learn more
Email *
Student's Full Name *
Student Date of Birth *
MM
/
DD
/
YYYY
Student ID Number
Does your student currently receive Special Education services? *

In accordance with Board Policy 206, requests for assignment to a school outside of a student's designated attendance zone may be considered under specific circumstances.

Please review the options below and select the reason that best applies to your attendance exception request:

*
Required
Grade level for the 2026 - 2027 school year.  *
Required
Parent/Guardian Full Name *
Parent/Guardian Phone Number *
Student's New Address *
Student's Previous Address *
Student's Home School *
Required
Name of school you are requesting an exception for *
Required
Reason for Attendance Exception Request *
I understand that if my exception request is approved that it is the responsibility of the parent/guardian to provide transportation to/from school. Once approved this exception request will remain in place until Student Services is contacted by the parent/guardian or the student moves to a new school. *
Required
A copy of your responses will be emailed to the address you provided.
Submit
Clear form
Never submit passwords through Google Forms.
reCAPTCHA
This form was created inside of Pennsbury School District.

Does this form look suspicious? Report