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Student Intent to Return Information
Please enter your student's name
*
First Name
*
Last Name
*
Student is returning for the 2021-2022 school year?
*
Yes
No
What reasons contribute to your decision? (Check all that apply)
*
Moving out of town or state
Moving to a another public school in the Eugene/Springfield area
Moving to another charter school
Private School
Transportation is too challenging
Lack of a meal program
Prefer a larger school community (more opportunities)
Job relocation
School proximity to work and/or carpooling reasons
Curriculum concerns
Instructional concerns
Classroom or teacher concerns
Peer to peer interactions
Extra curricular programs (ex: arts, athletic clubs, music)
Safety and/or discipline concerns
Other:
Other Value
Grade entering for the 2021-2022 school year?
*
1
2
3
4
5
6
7
8
Note: This is NOT the student's current grade.
Acknowledgement
*
I understand that my child’s position will be offered to another family. I also understand that, in order to re-enroll, my child would have to reapply and go through the open enrollment (lottery).
Parent/Guardian Signature Page
Parent/Guardian Name
*
First Name
*
Last Name
*
Parent/Guardian Email
*
Confirm Parent/Guardian Email
*
A copy of this form will be sent to this email address
Acknowledgement
*
I acknowledge that I am the parent/guardian of the above named student and can make decisions regarding his/her educational placement
Acknowledgement
*
I understand that I MUST complete a separate Intent to Return form for each child currently attending the school.
Signature
*
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