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For official copies of board policies and procedures please contact the superintendent's office at (253) 583-5190 or email

Clover Park School District #400
10903 Gravelly Lake Drive SW
Lakewood, Washington 98499

Form 2020-F2

Request for Reconsideration of Materials

  1. Identification


    Materials to be reconsidered:

  2. Comment (Use additional pages as necessary)
    1. To what in the instructional material do you object? Please be specific; cite pages, scenes, etc
    2. Why do you object to this material?
    3. For what age group would you recommend this material?
Return this form to: Teaching and Learning Department, Clover Park School District, 10903 Gravelly Lake Drive SW, Lakewood, WA 98499-1341

Former Form Number: 4401-F2

Date 10.14.85

Revised: 12.04.12