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First & Last Name of Student

Drop Reason

Class(es) to be dropped

Class RatingPoorFairGoodVery goodExcellentClass Rating

Teacher RatingPoorFairGoodVery goodExcellentTeacher Rating

Overall RatingPoorFairGoodVery goodExcellentOverall Rating

First & Last Name of Parent/Guardian

Phone Number:

Email Address

May we contact you about this drop request?

Your request has been submitted.

You will recieve a message confirming your drop dates.

2653 Ariane Dr, San Diego, CA 92117, USA

(858) 272-7456

Thanks for submitting!

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