Request For Full-Time Remote Learning Only Form  (Option 2)
* In order to be considered for remote instruction only, this form must be submitted on or before August 5.
Please fill out the form for each child who you are making the request form.

In light of the COVID-19 pandemic, the District has developed a full-time remote learning option for all students. Information about the District’s full-time remote learning plan has been shared with parents/guardians and may be accessed by clicking on this link: https://drive.google.com/file/d/1JTNC36Otoi9GQB2FCe6-5r3qvUv7tMwx/view?usp=sharing.  Any instructional days for approved full-time remote learning instruction will count as regular attendance days for the student. All approved requests for full-time remote instruction will apply for the duration of the semester, without the option to request to transition to in-person instruction until the next semester.

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Student Name *
Date of Birth *
MM
/
DD
/
YYYY
Grade Level *
I, Parent/Guardian of the above-named student, acknowledge that I have reviewed the District’s full-time remote learning plan for Fall 2020 and I request full-time remote learning instruction for my student for the entire fall semester of the 2020/2021 school year because I do not wish my student to attend school in-person due to the COVID-19 pandemic.                                                                                                                                                                                 The District will review the information submitted and contact you regarding fall instruction, or for any additional information required to process this request.                                                                        
The District will review the information submitted and contact you regarding fall instruction, or for any additional information required to process this request.                                                                        
Please type your name below to complete the request. *
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