CES Student Distance Learning Needs
Email address *
Parent/Guardian: *
Student Name(s) (First Last): *
Teacher: *
In order for my student(s) to maximize their distance learning experience, they need: (please list supplies or any other assistance you may need.) *
Phone Number: *
Preferred Method of Contact: *
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This form was created inside of Yucaipa-Calimesa Joint Unified School District.