Permission for Blended Wednesday

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This form must be successfully completed for students to participate in the Blended Wednesday option.

Student First Name (feel free to list multiple students). *

Student Last name *

Student Grade *

Required

I give permission for my student to participate in Blended Wednesday. I understand that all grades must be above a C- at mid-term and report card to participate. Furthermore, I understand students who do not attend and fail to meet the requirements will lose Student in Good Standing Status. *

Yes, I give permission for my child to blend on Wednesdays as long as qualifications are met.

No, I do not want my child to blend on Wednesdays.

Electronic Signature of Parent *

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