Daily Student Virtual Learning Form 2021
My child will not being attending in-person learning for their scheduled cohort day and instead will be remotely learning.
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Email address
*
Your email
Contact Number for Parent
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Your answer
Today's Date
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MM
/
DD
/
YYYY
Parent First and Last Name
*
Your answer
Child First and Last Name
*
Your answer
Grade Level
*
9
10
11
12
Please indicate, as specifically as possible, why your child will not be attending his or her scheduled cohort day and will be virtually attending school.
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Your answer
Parent Electronic Signature
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Your answer
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