Virtual/Hybrid Second Semester Survey 20-21

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Please complete the following information to indicate your choice for instruction for your child for the Second Semester of the 2020-2021 School Year.

Email *

Child's Name *

Child's Grade *

Child's Teacher *

Parent's Phone Number (include area code) *

When the District Returns to Hybrid Instruction (tentatively date January 21, 2021), I would like for my child to be a: *

Hybrid Student

Virtual Student

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