School Year:  
Student First Name:  
 
Student Last Name:  
 
Student #:

Leave blank if unknown
Student Date of Birth:
 
Parent / Guardian:
 
Phone:
 
Email Address:
 
Address:
 
City:
 
State:
Zip:
 
If you are submitting a request for more than one student, would you like the request to be considered together or separately?
Current Grade:
Grade at time of Transfer:
  
Attendance Boundary Assigned School:
  
Current School:
 
School Being Requested:
  
For Valley Crossing please contact Student Information: Renda Policano 651-425-6328
Second Choice:
For Valley Crossing please contact Student Information: Renda Policano 651-425-6328
Third Choice:
For Valley Crossing please contact Student Information: Renda Policano 651-425-6328
Is this a request for the International Baccalaureate (IB) Program at Park High School.
Do you currently have a student enrolled in Gateway?
Request for the Multi-Age Choice Program (MACP) at Valley Crossing Elementary for grades 1-5 only.
Day Care Name:
Day Care Phone:
Day Care Address:
Effective Date:  
   Or    
By submitting this request I understand:
  1. The student/parent/guardian is responsible for providing transportation.
  2. Minnesota State High School League rules relative to participation in varsity sports.
  3. District Administration reserves the right to return the student to their attendance boundary school when a student has recurring unexcused absences, including unexcused tardiness.
  4. District policies and procedures pertaining to intra-district transfers.

This transfer, if approved, will be on a continuing basis at the school you are requesting until a school level transition occurs (elem to middle / middle to high school).  Notification whether the request is approved will be made in writing by Jan. 15, 2021 for middle and high school students and by April 1, 2021 for elementary students.