ZQT10 Form; Free 10th period Fall 2021 Semester
Dear Student and/or Parent/Guardian:

This form will be used to request an early program for the Fall 2021 semester.  This request is based on an anticipated need to be excused after 9th period class in order to participate on a Fall PSAL team.

Wherever possible, a student who requests this will be able to be programmed for this special schedule provided that their request for courses do not extend the school day. Students will need to complete their academic day by the end of 9th period.

All eligible student athletes must request ZQT10 (no 10th period) prior to scheduling by submitting this form by Friday, June 4, 2021.

Should the student request extra courses for academic reasons, it will cause the student to be automatically removed from the ZQT10 list.

**ZQT10 will not be restored once given up to satisfy academic requests or requirements.

Any questions and/or concerns may be directed to Athletic Director, Mr. Peter Bologna at PBologn@schools.nyc.gov.



Students
Name:  ___________________________ Osis#_____________  Team____________________


I wish to select ZQT10 (no 10th period) ______


Parent’s signature: _______________________ Student’s Signature ____________________

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Email *
Student (Athlete) First Name *
Student (Athlete) Last Name *
OSIS Number *
Team you expect to join in Fall of 2021. You may view a list of teams during a normal school year here: https://stuy.enschool.org/apps/pages/index.jsp?uREC_ID=126892&type=d&termREC_ID=&pREC_ID=487876 *
Student: Do you understand you are requesting your academic day for Fall 2021 semester to end at the conclusion of 9th period to participate in a PSAL team? *
Parent/Guardian Full Name *
Parent/Guardian email address *
Parent: By Submitting this form, you are agreeing to your child's Fall 2021 schedule to be programmed with a 'free'10th period to participate in a PSAL sport. *
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