Proctor Elementary School Moving/Non-Intent to Return for 2019-20

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This Form is Intended for Proctor’s Current K-4 Students ONLY (Please fill out if you are Moving or Planning to Attend Another School Site for the 2019-20 School Year)

An essential part of enrollment projections each year is to determine whether or not students will be returning for the following school year. We expect to be at enrollment capacity throughout the district and need to anticipate any expected openings at our school site.

Please take a moment to complete this survey if you plan/anticipate that your child will not be enrolled at Proctor Elementary School next school year. This form does not change the required intra-district/inter-district requirement established by the CVUSD.

Parent/Guardian Name *

Student #1: Name *

Student #1: Grade Level in Fall '19 *

Student #2: Name

Student #2: Grade Level in Fall '19

Student #3: Name

Student #3: Grade Level in Fall '19

Expected Last Day @ Proctor *

Comments (Expected Move Date, Name of New School)

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