Formal Request to Repeat a Grade

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Parents/Guardians: By submitting this form to COCISD, you officially request that the school retain your child at the previous grade level or course level. This is a decision you as a parent have the right to make fore the 2021-22 school year. You must submit this form electronically or in person at your child's school. Hard copies of this form are available at each campus office. A printable pdf of this form is available on the district website at cocisd.org > Families > Request to Repeat a Grade.

Student's Legal Name *

Student ID

Student's Date of Birth *

YYYY

Campus Name *

James Street Elementary

Coldspring Intermediate

Lincoln Junior High

Coldspring-Oakhurst High School

Grade student completed in the 2020-21 school year:

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