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2022 ESY Accept / Decline
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Email
*
Your email
Please complete this form to inform SFUSD if you plan to accept or decline Extended School Year (ESY) for your child this summer 2022.
STUDENT FIRST NAME
*
Your answer
STUDENT LAST NAME
*
Your answer
STUDENT DATE OF BIRTH
*
MM
/
DD
/
YYYY
STUDENT'S CURRENT SCHOOL
*
Your answer
DO YOU ACCEPT YOUR STUDENT'S ESY ASSIGNMENT for SUMMER 2021?
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YES, I accept. My child WILL ATTEND ESY this summer.
NO, I do not accept. My child WILL NOT ATTEND ESY this summer.
If answer is YES to above, my child will attend ESY 2022:
*
In-Person
Virtual
Not Attending ESY
E-SIGNATURE: Please write YOUR FULL NAME here to authorize your response.
*
Your answer
Relationship to student? (i.e. parent, guardian, teacher, student)
Your answer
ANY QUESTIONS?
Your answer
A copy of your responses will be emailed to the address you provided.
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