Secondary Quarantine Learning Access
Please complete this form for students placed in quarantine or experiencing long term absence from school.

Parents and/or Guardians please fill out the Email field below with your personal email to receive a confirmation email from this form.
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Email *
Parent/Guardian Name (First Last) *
Student First Name *
Student Last Name *
Student district assigned email address *
Student ID Number
Date student is expected to return to the classroom from quarantine. *
MM
/
DD
/
YYYY
Current Grade Level *
My student intends to access live quarantine support *
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