Remote Learning Assurances

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Please complete the following form as you, the Parent/Legal Guardian of a student(s) in our district, agree to the assurances required when your student is in a remote learning environment. Completing this form will serve as your electronic signature. Please contact our office with any questions or concerns.

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* Indicates required question

First Name of Parent/Legal Guardian *

Your answer

Last Name of Parent/Legal Guardian *

Your answer

First and Last Name of Student 1 *

Your answer

I have another student involved in Remote Learning *

Yes

No

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