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Intent to Return Form 2022-2023
2022-2023 School Year Currently enrolled PSA Students
Student's Name
*
First Name
Last Name
Parent or Guardians Name
*
First Name
Last Name
Parents Email
*
example@example.com
Current Grade Level
*
Grade Level for 2022-2023
*
6th grade
7th grade
8th grade
9th grade
10th grade
11th grade
12th grade
Will you be returning for the 2022-2023 School Year?
*
Yes, I will be returning for the 2022-2023 School Year.
No, I will not be returning for the 2022-2023 School Year.
If answer is No, please give a brief reason as to why you will not be returning.
Military Family?
*
Thank you for your service
Free and Reduced Lunch Student
*
If you are Free and Reduced you must submit your letter to PSA.
Sibling Enrollment also?
*
Sibling Information if Applicable
Payment Options
*
Cash / Check. $75.00 per student. (I understand that payment must submitted no later than March 16, 2022.)
I will bring in cash or a check to the Front Office
I will mail a check to PSA
Credit Card Invoice
prev
next
( X )
Credit Card - 1 student
$
78.00
Credit Card -2 student
$
156.00
Credit Card -3 student
$
234.00
Credit Card
Submit
Should be Empty: