Lions Online Enrollment Form
Deadline to Submit: August 5, 2020
Student First Name
Student Last Name
Building in which your child is enrolled for the 2020-2021 school year
Sidney Deener Elementary School (grades K-3)
McRae Elementary School (grades K-3)
Westside Elementary School (grades K-3)
Southwest Middle School (grades 4-6)
Ahlf Junior High School (grades 7-8)
Searcy High School (grades 9-12)
Student Grade for 2020-2021 school year
Parent/Legal Guardian First Name
Parent/Legal Guardian Last Name
Parent/Legal Guardian Email
Parent/Legal Guardian Address
Parent/Legal Guardian Phone Number
Select the statement that most accurately describes your internet access. Your answer does not determine your eligibility to participate. It helps us to plan for your success.
Unlimited internet access at home that allows online learning with no difficulty.
Internet service with speed and/or download limits (difficult to access videos, video conferencing, content, etc.)
Hotspot internet access that allows online learning with no issues
Hotspot internet access with limits (difficult to access online videos, video conferencing, content, etc.)
No internet and no hotspot at home but can access the internet at a location other than home
Phone internet access that allows online learning with no issues
Phone internet access with limits (difficult to access online videos, video conferencing, and other content)
No access to the internet at all
Reason you would like your child to participate in Lions Online.
Medical need of child or other family member in the home
Behavior or Social Needs
I understand that I am being asked to commit for my student to participate for a minimum of a semster. At the end of the fall semester, I may choose to continue with Lions Online, or I may choose to return to onsite instruction.
If my child is enrolled in an elementary school and chooses to return to onsite instruction, I understand that he/she may have to attend a school outside the residential zoned elementary school if space is not available at that time.
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This form was created inside of Searcy Public Schools.