Request for Removal from Empower Online Program
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Email *
Student's First Name *
Student's Last Name *
Parent's Last Name *
Student's grade for the 20-21 school year *
I am requesting that my student be removed from the Empower Online Program for the 2020-2021 school year.  I understand by making this request that my child will return to face-to face learning at school when it is in session.  (Type first and last name of parent who's making the request). *
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