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Parent placement agreement, January 28: redacted excerpt
REDACTED EXCERPT | Original physical page 37 of 83
PARENT (OR GUARDIAN) STATEMENT
We understand that placement will be reviewed annually and more frequently, if necessary. We also understand we will be contacted if
any placement changes are contemplated. Placement does not guarantee success; however, mutual cooperation will result in a
greater degree of success in this program. We acknowledge that we have been notified and have received a copy of our due process
rights pertaining to Special Education placement and have a basic understanding of these rights. We acknowledge that we have
received a copy of the completed PWN and IEP form.
| agree to the proposed placement in Special Education.
Signature below indicates permission for placement
Signed: 1/28/2026
Selected original passages. Other material omitted for child and family privacy.
Audit Newport News | Reviewed October 26, 2026
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