Special Consideration or Exemption Request

Class Change Request

**Please be aware that the teacher and board must approve the class change.
Date

MonthDayYear
Date
Student Name*

First NameLast Name
Parent Name*

First NameLast Name
Email Address*
example@example.com
Period of Class*
Name of Class to be Dropped*
Name of Class to be Added*
I understand that materials fees that I paid for the class being dropped will not be refunded to me once fees have been paid.
Parent Signature*

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Admin Use Only
Teacher Approval
Board Approval
Email to Admin
Should be Empty:

Class Change Request