Please complete this form only if you wish to request a change to the declaration submitted in July 2020 for your child’s instructional model during Stage 2. This will allow us to determine if the request can be accommodated. Please complete and submit a form for each child whose model you are requesting to change. This form is to be submitted to your child’s school via email or in person using the information below.

Once form is filled out please submit to

If you have any questions or concerns, please contact your academy Counselor (and then a link to click that takes them to