WCSD Virtual/Online Participation Request Form - TPS
Dear Parents,
Please complete this form ONLY if you are requesting participation in the virtual/online option for instructional delivery. As a parent/guardian, you WILL BE RESPONSIBLE for co-facilitating, along with a WCSD teacher, in conducting your child's education at home. This participation request is for a full term (nine weeks) in which it is requested.
Student Legal First Name: *
Student Legal Last Name: *
Student's Date of Birth *
What school will your child attend for the 2020-2021 school year? *
Please select your child’s grade level. *
Parent/Guardian Name: *
Phone Number: *
Email address: *
Physical Address: *
Do you have a device (laptop, computer, chromebook etc.) for your child to use at home? *
Do you need a district-issued chromebook for your student to participate in virtual/online learning? *
Do you currently have sufficient/reliable internet access at home that you will have for the 2020-2021 school year? *
If your answer is no, will you be able to access it at another location (ex: school parking lot, a relative's home, etc.)? *
My child has a IEP or 504 plan . *
Please indicate the reason(s) you are choosing to opt out of the traditional return to school. *
Participation Request Agreement
I understand and agree with the Parent Request Agreement form above. *
Parent/Guardian Digital Signature: *
Today's Date: *
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