Latin Form A2 – Waiver Request for Extra-Curricular Activities Fees

This form is due no later than [date]. Note: There are [insert number] sections. REMINDER: Please also send a check (NO CASH) for $75 for the student activity fee, payable to Washington and Lee University with the student’s name and designated Academy (Spanish 2027, French 2027, or German 2027, Japanese 2027, Latin 2027) on the memo line mailed to the University at this address: Virginia Governor’s Language Academy Washington and Lee University 204 W Washington St Lexington, VA, 24450

Summer 2027 Residential Governor’s School and World Language Academy (Attachment A2 – Optional) Waiver Request for Extra-Curricular Activities Fees In addition to the instructional activities associated with the main focus or content area of Virginia’s Summer Residential Governor’s Schools and World Language Academies, students are provided the opportunity to participate in extra-curricular activities and events that enrich their summer program. Such activities and events may consist of field trips, local cultural activities, or educational related programs and usually occur on evenings and weekends throughout the summer, outside of the regular Governor’s School or World Language Academy program. These activities typically provide team building opportunities, creative endeavors, community and regional insights, and recreational outlets. Each Summer Residential Governor’s School and World Language Academy collects extra-curricular fees to support these enrichment opportunities to enhance students’ summer experience and/or to provide keepsakes such as customized T-shirts, digital yearbooks, and other Academy specific memorabilia. These extra-curricular activities fees may be waived or reduced for economically disadvantaged students and those students whose families are undergoing economic hardship and are financially unable to pay. Criteria that may be considered in waiving or reducing extra-curricular activities fees include, but are not limited to, families receiving unemployment benefits or public assistance, including Temporary Assistance for Needy Families (TANF), Supplemental Nutrition Assistance Program (SNAP), Supplemental Security Income (SSI) or Medicaid, foster families caring for children in foster care; or families that are homeless. Student eligibility for free or reduced priced meals may be considered as well. To receive this waiver, a parent or guardian is required to sign this form and provide proof of eligibility by attaching a copy of the Notification of Eligibility letter for free or reduced priced meals provided to you by your school or documentation to support receipt of TANF, SNAP, SSI, Medicaid, unemployment benefits, foster care services, or other documentation of eligibility. Please complete the form below and return it along with your Notification of Eligibility for free or reduced priced meals or documentation to support receipt of TANF, SNAP, SSI, Medicaid, unemployment benefits, foster care services, or other documentation of eligibility to the director of the program to which your child was accepted. Questions about the waiver or reduction of fees for eligible students may also be addressed to the program director.