(Due to Extremely Extenuating Circumstances ONLY)

This form is to be completed for any student(s) who expects to return to school LATER THAN 12:00 pm Wednesday, Sep. 9, 2026, AND ON or BEFORE Sep. 11, 2026. Please complete this form and return to the school Principal before June 24, 2026. Please attach a letter that contains an explanation of the extenuating circumstances for returning late in September.

If your child does not return to school by September 11, 2026, they may lose their placement and may have to attend another school upon their late return.