Lindenhurst School District Remote Learning Request Form

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If you decide to have your child instructed remotely, please complete the online form below. Please complete one form per child. In order to prepare schedules for our virtual school, we ask that you complete this form no later than August 21, 2020. Once received, you will be contacted by your child’s school.

Parent active e-mail address *

Verify the email address *

Parent last name *

Parent first name *

Student last name *

Student first name *

School your child will be attending in the fall *

Do you have access to the internet?

Yes

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By clicking yes to this form you are deciding to take advantage of full remote learning, you are committing to remain on remote learning for the duration of the quarter for secondary school or the duration of the trimester for elementary schools. You will not be able to opt back in until the marking period has ended. *

Yes, I agree to the above statement, and realize I will not be able to change this decision for this current semester/trimester after I submit this form.

Required

Submit

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