Remote Learning Request Form

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Remote Learning Request Form

Please complete at least 18 hours before remote learning is needed. This lets teachers prepare for the remote learning classroom for the student. Remote learning is intended for students that have a COVID19 related issue.

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* Indicates required question

Email *

Your email

Student Name: *

Your answer

Do you need to learn remotely due to a COVID19 related issue? *

Yes

No

What is your COVID19 related issue? *

Your answer

What is the date remote learning is needed? *

Your answer

Parent/Legal Guardian please print your name as digital signature for this form.

Your answer

Send me a copy of my responses.

Submit

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