Test Retake Request Name: Period: Test: Score: Requirements for retake: Score must be below 90%. Study guide must be completed and attached to this form. You must study Explain why you scored lower than expected and why you want to retake the test: Student Signature: Parent Signature: Your request for retake has been: ____ Approved ____ Denied Your retake is scheduled for: Date: Room: Time: Note: If you need to reschedule this appointment, email (add your email). Failure to show for a scheduled meeting without prior contact mean this contract is null and void. Set up a reminder in your phone.