School Uniform Exception Request Form
Use this form to request an exception to the school uniform policy for your child or yourself. Please provide complete and accurate information.
Student Full Name
*
First Name
Last Name
Student Grade Level
*
Please Select
Kindergarten
1st Grade
2nd Grade
3rd Grade
4th Grade
5th Grade
6th Grade
7th Grade
8th Grade
9th Grade
10th Grade
11th Grade
12th Grade
Student's Homeroom Teacher
*
Parent/Guardian Name (if applicable)
Relationship to Student
*
Please Select
Self (Student)
Parent
Guardian
Other
Contact Email Address
*
example@example.com
Contact Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Type of Exception Requested
*
Please Select
Medical
Religious
Cultural
Other
Reason for Exception Request
*
Requested Duration of Exception
*
Please Select
One Day
One Week
One Month
Full Academic Year
Other
Submit Request
Should be Empty: