Please complete and submit the form FOR EACH CHILD IN THE HOME who will be attending East End School District for the 2021-2022 school year.
We are beginning to make plans for the 2021-2022 school year. In order to proceed with our planning, we need an accurate count on the number of students whose parents wish to commit to virtual instruction for the 2021-2022 school year, if it is offered. We want to emphasize that virtual instruction requires a strong commitment from both parents and students as well as has strict polices regarding expectations and requirements to remain in virtual learning. Please complete one form per student.
Student's Last Name *
Student's First Name *
Student's Current Grade Level *
What is the relationship of the person completing this form to the student? *
Guardian's Last Name *
Guardian's First Name *
Phone Number *
Mailing Address *
Email Address *
If the option is available, I would like for my student to receive instruction virtually for the school year 2021-2022 (Virtual instruction will be provided by a third party not employed by EESD): *
Submit
Never submit passwords through Google Forms.
This form was created inside of East End School District. Report Abuse