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Out of Grade Range Exception Request

Please provide complete information

Parent Name (Registered under)
Last Name:
First Name:
Parent Cell Phone Number:
Student Name
Last Name:
First Name:
Birth Date:
Student Grade Level during the academic year of THIS class:
Student Age as of the first day of Legacy's academic year for THIS class:
Class Info
Teacher Name:
Class Title:
Class Hour:
Grade Range:
Reason/Explanation for Exception Request