Parent Partner Form of Intent
Please fill this form out by April 30th if you anticipate your child attending Parent Partner classes next school year (2021-2022). Feel free to turn this form in after that date, but to be included in the initial review of applications, please have this form in by the due date. We will contact you with further information about space availability. Thank you.

*Please Note* All students reapply each year, so please fill this out even if you are in PP this year. Priority is based on FTE (amount of PP classes), risk, date of form submission, and class status. We are currently working on updating procedures.


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The Lopez Island School District does not discriminate in any programs or activities on the basis of sex, race, creed, religion, color, national origin, age, veteran or military status, sexual orientation, gender expression or identity, disability, or the use of a trained dog guide or service animal and provides equal access to the Boy Scouts and other designated youth groups.  The following employee(s) has been designated to handle questions and complaints of alleged discrimination: Civil Rights Compliance Coordinator, Interim Superintendent – cbruner@lopezislandschool.org, Title IX Coordinator, HR Specialist Renee Koplan – rkoplan@lopezislandschool.org, Section 504, Interim Elementary Principal – mfordham@lopezislandschool.org,   OR contact by phone, 360-468-2202, OR mail to 86 School Rd, Lopez Island, WA 98261.
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Student Name *
Grade Level (in fall) *
Parent/Guardian Name *
Parent/Guardian Email Address *
Parent/Guardian Phone Number *
Secondary Students: Parent Partner Classes for fall
Column 1
Fulltime PP Student (7 classes)
6 PP Classes
5 PP Classes
4 PP Classes
3 PP Classes
2 PP Classes
1 PP Class
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Secondary: Please list course titles of secondary classes, if known.
Elementary Students: PP classes for the fall
Column 1
Fulltime PP Elementary Student (5 Classes)
English Language Arts
Math
Science
Social Studies
Enrichment/Life Skills
Clear selection
Services: Please check any that apply. *
Required
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