Bell Manor Return to Learn Change Request Form
Bell Manor Solicitud para cambio de opcion
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Email *
Please complete your learning change request for the six weeks by the deadlines listed below.
Parent Email (Correo electronico del padre/madre) *
Student Name (Last Name, First Name) (Nombre del estudiante (apellidos, primer nombre) *
Student 6 Digit ID Number WITHOUT 2 Letters (i.e. 123456)  (Numero de estudiante (6 digitos, no incluya las 2 letras))
Grade Level *
Current Homeroom Teacher (Maestra de salon hogar) *
My child is currently enrolled in _____. (Mi hijo/a al momento esta asistiendo...) *
I am requesting to enroll my child in ______. (Estoy solicitando cambiar a la siguiente opcion) *
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