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AB 104 Request Form

Per AB 104, any student who received a D or F (grades 3-11) or 1 or 2 (grades K-2) in half or more of their academic courses during the 2020-21 school year may request a consultation for grade-level retention consideration.

If you would like to request a consultation, please complete this form and submit to your student’s 2020-21 School Principal.