Out of District Request

in order to submit this request you must have access to an email: Out of District instructions

This request is for the following school year:

Requested start date:

STUDENT INFORMATION

[please enter information as it appears on your child's birth certificate.]

Student Name:

Student ID #:

Birth Date:

Gender:

Address:

City, State Zip
(i.e. Cumming, GA 30040):

Subdivision:

SCHOOL INFORMATION

School/Grade student is currently enrolled at:		Grade:

School in which student is zoned to attend:
School/Grade in which student is requesting to attend:		Grade:






Type of Request:

PARENT INFORMATION

Parent/Guardian Name:
Email Address:
Home/Cell Phone:	Work Phone:

I agree that I am the parent/guardian of the child listed above on this confirmation of Out of District and that I have legal educational decision-making authority for the named student. I consent to provide an electronic signature for my student's Out of District request. I have provided my student's name and birthdate and confirm the accuracy of the information listed on the Out of District request form. I further agree, under penalty of law and per the Electronic Signature Act, that I am the person who is signing my name inside the electronic signature box and understand this electronic signature is considered equivalent to a signed or faxed signature.

- I Agree Type Full Name:

- I understand that participation in extracurricular athletics for middle and high schools are subject to GHSA transfer rules. Please check with the County Athletic Director to avoid athletic inelligibility. Once a transfer is approved, eligibility to participate cannot be appealed.

- I understand that if my student drops out of the requested pathway, my student may be returned to the resident base school.

Send Validation Code: Email Text Home/Cell/Email Select Provider:

NOTE: If you do not receive a text, please check your email for the validation code.

If you have any issues with this form, please email: StudentInformation@forsyth.k12.ga.us

Validation Code: