ATHLETIC FEE WAIVER REQUEST FORM 2022-2023

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Students participating in a sport and seeking a waiver of the athletic fee MUST submit this form EACH season (Fall, Winter and Spring) that they are participating.
Students that are NOT on a free /reduced lunch program are REQUIRED to pay a partial fee. (Please pay the amount you indicated you are able to pay at the Online Payment Center after you fill out this form)
Waivers will be based on financial need only. A student must fill out this form in order to have a user fee waived or reduced.

Email *

Students First Name *

Students Last Name *

Grade *

Todays Date *

YYYY

Parent/Guardian First Name *

Parent/Guardian Last Name *

Is the student on a free or reduced lunch program? *

Yes

If you answered Yes to the above question skip the remaining questions and submit the form. If you answered No please continue to answer the remaining questions

How much of the athletic fee are you able to pay?

All students who are not on a free or reduced lunch are required to make a partial payment of the athletic fee.

Explain briefly the reason for your request.

Submit

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