512 Building Instructional Mode Change Request Form - To In-Person from Virtual Learning

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This form is used by parents/guardians to request that the instructional mode be changed to in-person learning from virtual learning.

What is the first name of your student? *

What is the last name of your student? *

Which grade is your student in? *

What is your first name? *

What is your last name? *

What is your phone number in case we need to contact you?

What is your email address in case we need to contact you?

Please explain, in the field below, why you are requesting that your student change their mode of instruction. *

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