TMSD Parent Selection Form: 20-21 School Year
The Tussey Mountain School District is planning to welcome students and staff back to school in August. The district has developed a Reopening Plan which includes health and safety guidelines, mandates from the state Department of Health and CDC, and includes operating models that align with each of the governor’s three COVID-19 phases (Red, Yellow and Green) with the ultimate goal of resuming in-person teaching and learning for the entire school year. The district is asking parents to review the TMSD Reopening Plan, available at
and complete the following form regarding your selection for the upcoming school year. Please note that details of the Reopening Plan are subject to change based on guidelines from local, state, and federal authorities.
Please complete one form for each student that is enrolled at TMSD for the upcoming school year. For planning purposes, please submit this form by August 5, 2020.
Parent/Guardian First and Last Name
Student First and Last Name
My child is enrolled at:
Tussey Mountain Elementary School
Tussey Mountain Middle School
Tussey Mountain High School
What grade will this student be in for the 20-21 school year?
Please indicate if your child receives any of the following special services:
IEP (Individualized Education Program)
GIEP (Gifted Individualized Education Plan)
No Special Services
If there are no changes to the TMSD Reopening Plan, I choose the following option for my child:
My child will return to the regular classroom setting following the guidelines and procedures outlined in the TMSD Reopening Plan.
My child will remain at home learning through online instruction provided by TMSD teachers.
I will be teaching my child at home through a formal Home Education program. (All necessary paperwork must be filed with the district.)
Please indicate below how your child will be transported to and from school for the upcoming school year.
My child will ride the school bus to and from school.
My child will be dropped off and picked up at school by a parent/guardian.
My child will walk to and from school.
My child will drive to and from school.
A copy of your responses will be emailed to the address you provided.
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This form was created inside of Tussey Mountain School District.