Request for Remote Learning (2021-22)

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If your child is medically vulnerable with documentation from a healthcare provider, you may request a virtual learning program for the 2021-22 school year. Please note that a commitment to remain in remote instruction must be made for the entire 2021-22 school year. Remote instruction will not be provided by Cairo-Durham faculty, but will be provided through BOCES, Northeastern Regional Information Center (NERIC), or another alternate online platform depending on grade level and availability.

Any parent or guardian who believes their child will be unable to return to school for in-person learning due to an approved medical exemption must complete this form AND submit proper medical documentation to the District Office by Wednesday, August 25th. Medical documentation from your healthcare provider should be sent to the District Office as soon as possible, either by email to ncolon@cairodurham.org or by fax to 518-622-9566.

Medical documentation will be reviewed by the District’s medical director for final approval.

Do you anticipate your child needing full remote instruction for the 2021-2022 school year due to a medically compromised condition with a physician's note? If yes, please submit medical documentation from your healthcare provider either by email to ncolon@cairodurham.org or by fax to 518-622-9566. These requests will be reviewed and approved by our school physician. *

Yes - please answer all questions below and submit form

No - please stop here and exit out of survey

Student name (first and last) *

Grade level beginning in September 2021 *

Parent/Guardian completing the survey (first and last name) *

Best phone number at which to reach you *

Your email address *

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