About this Form
Form number: 560-19
Last revised: February 2018
This form is to be used when requesting an exemption to kindergarten attendance. The parent/guardian completes Parts I, II, and III. The principal of the assigned school completes Part IV to indicate automatic approval and distributes copies (see distribution below). At the end of the exemption year, the parent/guardian obtains information in Part V, if appropriate. The parent/guardian is to retain their copy to be used for enrollment of student the following year.
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