Richwood Middle School - Incoming 6th Grade Scheduling Form

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This form is for current 5th graders who will be entering 6th grade.

YOU MAY ONLY SUBMIT THIS FORM ONE TIME. The first recorded submission will be the one accepted. If you have any further questions, you may email our counselor, Charlestine Burnette (burnette@opsb.net). Please be patient as this is new for all us!

Please make sure you are looking over this form with your parent/guardian.

Last Name *

First Name (not what you are called...your ACTUAL name) *

Gender *

Male

Female

Parent/Guardian's Name (actual name) *

Parent/Guardian Phone Number *

Current Address (please include street number, apt. number, lot number, etc., along with city and zip code) *

School Coming From (If Other, please type name and city/state of school) *

Robinson Elementary

Shady Grove Elementary

Swayze Elementary

Other:

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