2025-26 Intensive Reading Waiver

Student Name
Student #
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Grade Level
Contact Information Contact Information - ### - ### ####
Parent Email
Please write down what elective you would want if you come out of Intensive Reading:

Pick any options that you would like to have instead of this class-Of course, this is NOT guarenteed and we will do our best to accomodate this request.
1st elective choice
2nd elective choice
3rd elective choice
Please review this waiver, and acknowledge in the signature box below.
Draw your signature into the box below.

Draw or Type

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Full Name

I understand this is a legal representation of my signature.