2020-2021 Request to Return to In Person Instruction

Request edit access

JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.

By submitting this form, I am requesting that my child return to in person instruction. Please submit one form per student.

As explained in Board Policy 2361, the school district will require a period of up to thirty (30) calendar days to process your request, as transitioning a student to or from remote instruction may result in a change in instructional staff and instructional staff support, class schedule, classroom composition and social distancing, personal protective equipment and protective classroom equipment, and student transportation services.

Student Last Name *

Student First Name *

Please select grade level *

Pre-K

Kindergarten

Grade 1

Grade 2

Grade 3

Grade 4

Grade 5

Grade 6

Grade 7

Grade 8

Grade 9

Grade 10

Grade 11

Grade 12

School Student Attends *

Milton Avenue School

Southern Boulevard School

Washington Avenue School

Lafayette School

Chatham Middle School

Chatham High School

Required

Select desired date of return *

YYYY

My child has an Individualized Education Program (“IEP”) Plan *

Yes

My child has a 504 Plan *

Yes

I am eligible for and am requesting transportation services be reinstated for my student? *

Yes

Required

Parent Last Name *

Parent First Name *

Submit

Clear form

Never submit passwords through Google Forms.

This form was created inside of School District of the Chathams.

Does this form look suspicious? Report

Forms