This form will be utilized for out-of-zone requests during the 2023-2024 school year. You will be notified by email once your request has been processed.
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Instructions: The request, if approved, is for the entire 2023-2024 school year and may not be changed except for hardship. New students: Parents must enroll elementary and middle school students at the school in the zone where they reside. Parents may, upon enrollment; request that their child attend a school out-of-zone for the 2023-2024 school year or the remainder of the year if enrollment is after school begins.  Such requests will be granted on a space available basis. *
Student Name *
Type of Form *
Foster Care *
Grade *
School Zone in Which You Live *
School Currently Attending *
Name of Parent or Guardian *
Address of Residence *
Email Address *
Please verify that the email address provided is correct *
Parent or Guardian's Telephone Number *
I hereby request permission for my child to attend the following school for the 2023-2024 school year: *
Reason for Request *
The following criteria will be used to determine if this request is granted: a) Adequate space and personnel must exist at the school. b) The parent or guardian must be responsible for providing transportation to and from school. A student must not arrive early, or be tardy, and must be picked up at dismissal time. If granted, the waiver may be revoked at any time should the student accumulate disciplinary referrals, excessive tardies, or unexcused absences or for other valid reasons at the principal's discretion. *
Please type in your full name below to verify the above information is correct (By placing your name below, this will serve as signature verification). *
Please verify the date of submission by entering the date below. *
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