Request for 100% Remote Instruction

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Assuming schools re-open in the fall with either 100% on-campus instruction or partial on-campus instruction (a hybrid in-person / remote scenario), we will also provide a 100% remote option for parents who so desire. For parents/guardians with more than one student in the district, please fill out one request per student.

If you prefer the 100% remote option for your child, please provide details below:

Email *

Parent Name *

Phone Number *

Parent/Guardian Email *

Address *

City *

Zip *

Student First Name

Student Last Name *

School of Attendance *

Bell Elementary

Palmer Elementary

Weeks Elementary

Windsor Central Middle School

Windsor Central High School

Grade for 2020-21 School Year (0 =K, -1=UPK, -2=3PK) *

-2

-1

Can you share your reasoning for opting your child out of on-site instruction?

Child is in a high risk category

General health concerns

Other:

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Additional Comments

Certification *

I certify that I am the legal parent or guardian of the above named student

A copy of your responses will be emailed to the address you provided.

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