NTSD Distance Learning Application Fall 2020
The purpose of this form is to allow a parent or guardian to register an intent for their child to be enrolled as a full-time distance learning student in North Tippah Schools for the fall semester. This is in addition to and does not replace the online registration process for the actual school in which the student is enrolled for 2020-21.  Please complete one (1) form for every student you want to register for full-time distance learning.  
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As the parent or guardian of the student named in this form, I am requesting that this student be enrolled in Distance Learning school for the fall semester. I have read the document North Tippah Schools Distance Learning Description and Considerations" and understand the limitations and restrictions this choice imposes. *
Student's First and Last Name *
Student's Grade Level for 2020-2021 *
Student's Home School for 2020-2021 *
Name of Parent or Guardian Completing This Form (Last, First) *
Do you have reliable access to the internet at home, and do you plan to maintain that access through the 2020-21 school year? *
Do you have a device that can be designated for Distance Learning? *
Please describe the reason you are requesting Distance Learning for your child for Fall 2020.   *
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