John Rex Virtual Education
By submitting this form, I am making a choice to enroll my student in John Rex Virtual Education. In doing so, I confirm that:

I understand enrolling in John Rex Virtual Education is a semester-long choice. You can reconsider your choice at the end of the first semester for school in January 2021. This form will be sent out again in December.

Remember that Virtual Learning is more successful when an adult at home can provide assistance and support to their child each day. JCRS staff, teachers and administration will support you in this task.
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Email *
Full name of the student making a choice to enroll in John Rex Virtual Education. *
Student's grade for the 2020-2021 school year *
Parent/guardian name(s) *
Parent/guardian(s) email(s) *
Parent/guardian(s) phone number(s) *
Student is on an IEP or 504. *
I understand the following conditions- check each that you understand. *
Required
Name of adult learning coach (parent, guardian, grandparent, etc.) who will be available to help the student. *
What is the relationship between learning coach and student? *
Email of the adult learning coach who will be available to help student *
Phone number for the adult learning coach who will be available to help student *
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