Formal Appeal Form

This form must be completed by the parent/guardian and submitted with in 3 days of receipt of the discipline referral.

Parent/Guardian Name Parent/Guardian Name First Last
Parent/Guardian Phone # Parent/Guardian Phone # - ### - ### ####
Parent/Guardian Email
Student Name Student Name First Last
Student Number
The reason for this appeal is as follows:
List any witnesses below:
Parent/Guardian Signature. Please draw your signature into the box below.

Draw or Type

I understand this is a legal representation of my signature. Clear

Full Name

I understand this is a legal representation of my signature.
NOTE: IF THE INVESTIGATION RESULTS IN THE APPEAL BEING DENIED, THE CONSEQUENCES MAY BE INCREASED.