Program Selection Change Request Form | District | Legacy Traditional Schools

Program Selection Change Request

To change your child’s program selection (in-person/online), this form must be completed.

Program selection changes may be made at any time during the school year.

Campus*
Student Name*
First Last
Grade*
Homeroom Teacher*
Current Program*
Requested Program*
If you are going to change your program option based on travel please select the dates you would like your student's program option to start and end.
Start Date*
MM slash DD slash YYYY
End Date
MM slash DD slash YYYY
Reason for Request*
Parent Signature (type first and last name)*
Date*
MM slash DD slash YYYY