Intent to Return Form for 2021-2022

Please provide your INTENT to RETURN to PSA for the 2021-2022 school year
Paid?
Student Name *

First Name Last Name
Grade Currently in *
Grade for 2021-22 *
Parent Email
example@example.com
Returning? *

Yes, I INTEND TO RETURN for the 2021-2022 school year. No, I do NOT intend to return for the 2021-2022 school year.
No, NOT returning please indicate why *
Military?

Yes, I acknowledge I need to provide current proof of orders. No
Military Orders Upload

Browse Files

Cancel of
Free or Reduced Lunch *

NO YES, my student receives Free or Reduced Lunch
Have you moved?
Do you need to update your address
Input your new Address?

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
Return Payment *

$78.00 Credit Card $75.00 Cash/Check
Check payment please write your Students Name in the Memo section.

Cash payments please provide exactly $75.00 as we do not have change.

The deadline for the completed Intent to Return process is Friday, April 30, 2021. If the Intent to Return process is not completed by April 30th, PSA cannot guarantee a hold is placed on your child's enrollment spot.

Please provide your INTENT to RETURN to PSA for the 2021-2022 school year