Pleasant Home School - Virtual Instruction Program
This form is required when applying to the Virtual Instructional Program for schools in Covington County School District.

Enrollment Pleasant Home School Virtual Instructional Program is a commitment by both student and family.

A separate application packet is required and can be picked at PHS front office. The completion of this online form as well as the application packet is required before students will begin coursework.

Student's Last Name *
Student's First Name *
School year 2020-21 *
Student Home Address *
Parent/Guardian Name *
Parent/Guardian phone number *
Parent/Guardian email address *
Never submit passwords through Google Forms.
This form was created inside of Covington County Schools. Report Abuse