Student's Intention for the 2023-24 School Year

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You only need to complete this form if your student will NOT be returning to Haycock next year. One form should be completed for each student. This information is important because staffing is based on enrollment. Thank you for your time!

Child's Last Name *

Child's First Name *

Current Grade Level for 2022-23 *

Teacher name

Intention for the next school year 2023-24 *

We are moving and will attend another FCPS school.

We are transferring to a nonpublic school (includes Home School).

We are transferring to another public school division in Virginia

We are transferring to a public school division in the U.S.

We will be moving out of the country for work or for other reasons.

Name of Next School:

Additional Notes:

Parent Name: (first and last)
*

Parent email
*

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