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Parental Request to Retain

Parental Request to Retain Student 2021-22 School Year

Please take the time to fill out this form to request an SBLC meeting with teachers and administrators to request that your child be held back (retained) in his or her current grade.

There are multiple reasons that parents may want their children to repeat a grade: academic, social/emotional maturity, etc. Please be sure and list the reasons on this form. There is no guarantee that your child will be retained in their current grade level, but our SBLC committee will review each request and you will be contacted regarding this submission.

Please submit this form by April 1, 2021.

Link to the Google Form:

9560 Highway 33
Farmerville, LA 71241

Fax: 318-368-8258

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Public Custodian of Records: Heath Murry (

No person shall, on the basis of race, color, religion, gender, age, marital status, disability, political or religious beliefs, national or ethnic origin, or sexual orientation be excluded from participation in, be denied the benefits of, or be subjected to discrimination under any education program or activity, or in any employment conditions or practices conducted by this School, except as provided by law.

REPORT SEXUAL HARRASSMENT - Contact DWCS Human Resources Department at 318-368-8051 X 6018.

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