Name: Begin 12 days of Cozy Christmas Reading
Start: 2022-12-17T00:00:00+00:00
End: 2022-12-17T23:59:59+00:00

Opt-out Enrollment Form

This form will notify LACS that one or more of the children in your family will not be returning to the school for the upcoming school year and therefore will not be included in Continuous Enrollment.

Parent Name
Name*
First Name Last Name
Email*
Number of Students being Withdrawn*
Please select the applicable opt out school year.*
Student Name
Student name(s)*
Student name(s)
Your feedback is important. What are the reasons behind your decision?*
School child will be attending*
Signature
Signature*
Date*
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Opt-out Enrollment Form

Opt-out Enrollment Form

Parent Name

Student Name

Signature

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