Commitment to Alternate High School


January 2022- June 2022


Dear 8th Grade  Parents,


If your child will not be attending Pascack Hills High School, please complete this form by May 21st as official notification, when your child has committed to another high school.  This information will be used to send your child’s records to the appropriate school in a timely manner.


Please do not hesitate with any questions.



Susan Loeb

School Counselor


Student Name:  ____________________________________________

Name of high school student will attend in September 2021: 


Address of high school:          




Parent (Guardian) Signature: __________________________



Return to main office or send as an email including the above information to: