K-12 Virtual Online Instruction Registration Form
This registration form indicates your interest in attending school through the virtual online option during SY20-21 instead of in-person instruction. In addition to this form, you must also complete the regular enrollment/registration process for your school. Participation in a parent orientation is also required for parents of K-8 students opting for virtual online instruction. Additional information and eligibility requirements will be provided at the orientation. If you have multiple children in grades K-12 who will be attending school with virtual online instruction, please complete separate registration forms for each child.
Student Full Name
East Ridge Middle
John Hay Elementary
Lincoln Heights Elementary
Lincoln Heights Middle
Morristown East High School
Morristown West High School
Union Heights Elementary
West View Middle
Grade Level for SY20-21
Student Date of Birth (MM/DD/YYYY)
Student Lunch Number (5-digit)
Parent/Guardian 1 Full Name
Parent/Guardian 1 Home Address
Parent/Guardian 1 Phone Number
Parent/Guardian 2 Full Name
Parent/Guardian 2 Home Address
Parent/Guardian 2 Phone Number
Technology Information: Please mark the appropriate box to provide computer information for your household.
I am a high school student in Hamblen County.
I already have and will be using my own computer.
I will purchase my own computer before July 31.
I need assistance from the district to secure a computer. A $50 usage fee will apply for assigned district computers.
Technology Information: Please mark the appropriate box to provide internet access information for your household.
I already have home internet in place.
I will purchase home internet services before July 31.
I need assistance from the district to secure internet services. A usage fee for the device will apply.
Please read the statements below and mark beside each to acknowledge these conditions.
I understand that my child will engage in virtual instruction for SY20-21. Any changes to enrollment between virtual and in-person instruction will take place only at the end of the nine-week grading periods.
I understand that it is my responsibility to secure the appropriate technology and internet prior to the start of the school year. This can be done either through the district or on my own.
I understand that attendance will be taken daily, and students must log onto the virtual platform and complete work every day, Monday through Friday. District policies on attendance will be enforced.
I understand that my child’s online work will be graded and assigned an official grade for all work completed.
If using district issued computer and/or WiFi device, I will abide to proper usage agreement.
I will register for and participate in the mandatory K-8 parent orientation
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This form was created inside of Hamblen County Department of Education.