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Chrysalis Charter School

Encouraging the Light within to Shine Brighter
21945 Old 44 Drive
Palo Cedro, CA 96073
Phone: (530) 547-9726
Fax: (530) 547-9734
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Grievance forms

Grievance forms

  • Bully, Harassment, and Inappropriate Behavior Report Form (to be completed to report bullying, harassment, or sexual misconduct)
  • General Grievance Form (to be completed to address general concerns regarding our school policies, procedures, or personnel.) 
  • Charter School Complaint Notice and Form (to be completed to report discrimination upon student enrollment)
  • Uniform Complaint Form 2025 (to be completed to report noncompliance with federal and state laws and regulations, including those related to: pupil fees; textbooks and instructional materials; clean and safe, well-maintained school facilities; teacher vacancies or misassignments; and freedom from unlawful discrimination, harassment, intimidation or bullying against any protected group.)