Planning Form for 2020-2021 School Year
Due to medical issues, if you have concerns about your son/daughter returning to the physical school building during the 2020-2021 school year, please complete the following information.
Student's Full Name *
Parent(s)/Guardian(s) Name *
Best Contact Phone Number *
School for 2020-2021 School Year *
Grade Level for 2020-2021 School Year *
Please describe any medical conditions your child may have and how this may affect their return to the physical school building in the Fall of the 2020-2021 school year. (Note: We will need medical documentation before your child can be placed on homebound services.) *
Would you be interested in your child receiving homebound services? Homebound services are determined on an individual basis. However, the typical model is your child working some independently throughout the school week with a teacher visiting your child during the week to work on assignments. *
Does your child have: *
Any additional information/concerns you would like to express.
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