9110.2 Request for Exception/Exclusion Form

Grand Island Public Schools

Request for Exception/Exclusion from Activities or Curriculum

Student ____________________

School ____________________

What do you object to regarding instruction, materials, testing, curriculum, textbooks, surveys or other school experiences and activities? Please be specific.



Why do you find this objectionable?



What suggestions do you have to resolve the issue that might be satisfactory to you and the school district?



Parent/Guardian Signature ____________________  Date ____________________


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