School District Fee Waiver Request Form
Use this form to request a waiver of school district fees. Please provide accurate information to help us process your request efficiently.
Parent/Guardian Full Name
*
First Name
Last Name
Relationship to Student
*
Please Select
Mother
Father
Legal Guardian
Other
Student Full Name
*
First Name
Last Name
School Name
*
Student Grade
*
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
Contact Email
*
example@example.com
Contact Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Fees for Which Waiver is Requested
*
Reason for Fee Waiver Request
*
Date of Request
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Submit Request
Should be Empty: