Elkhorn Public Schools Student Fee Waiver Application & Sharing Information with Other Programs

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Elkhorn Public Schools Student Fee Waiver Application & Sharing Information with Other Programs - Optional 2023-2024

NOTE: Parents or students who desire to have student fees waived must complete this form. In order to verify eligibility for the fee waiver, an Application for Free & Reduced Price Meals must also be completed and submitted each year (unless already on file with the District). Application for fee waiver may be made at any time; but must be renewed annually. All fees for which a waiver is sought should be listed on this form.

Email *

Student Name *

Student ID# *

School *

Student Grade *

List the Specific Fee(s) for which waivers are being requested:

Name of Parent or Guardian *

Street Address, City , Zip Code *

Phone # *

Parent Email Address *

We must have your permission to share your information provided on the Application for Free & Reduced Price Meals in order to determine eligibility for Student Fee Waivers. Submitting this form will not change whether your children get free or reduced price meals. *

YES! Please share information from my Free & Reduced Price School Meal Application with appropriate school officials for the above requested fee waivers.

No, please do not share my information.

Required

Please enter your name and today's date below, this will serve as your signature. *

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