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UACHS Request to Change to/from In-Person Hybrid Learning
Please use this form to submit your request to switch your child to or from in-person hybrid instruction. Your request will be accommodated by the next full week of school.
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* Indicates required question
Email
*
Your email
Student Name
*
Your answer
What grade is your child in?
*
9
10
11
12
I would like to change my child's learning setting to:
*
In-person hybrid (1/2 in-person, 1/2 remote)
100% remote learning
Required
If you are requesting that your child start in-person hybrid learning, do they have any health issues that would prevent them from wearing a mask at all times?
Yes
No
Clear selection
If you are requesting that your child start in-person hybrid learning, are there any health-related accommodations they might need?
Your answer
If you are requesting that your child switch to 100% remote learning, are there any technological issues that need to be addressed?
Your answer
Is there anything else that you would like the UACHS administration to know?
Your answer
Parent/Guardian Name
*
Your answer
Parent/Guardian Phone Number
*
Your answer
Parent/Guardian Email
*
Your answer
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