Pine-Richland / Eden Hall Upper Elementary School Parental Waiver for Mathematics Pathway Recommendation Pine-Richland School District carefully reviews a variety of assessment data to ensure appropriate academic placement. However, at times parents choose to waive the school’s placement recommendations. Completion of this form will intiale this process. Agreement of Understanding Please read and initial each statement below: | understand that the placement of my child in this course is not recommended by the school. | request that my child be placed in the desired course for the following reason(s): (must be completed by the parent) Course title recommended by PRSD Course title requested by parent/student ‘Student Name (please print) Parent Name Parent Signature Date Administrator's Signature __ Dale Approved Yes No