MDCV JH/HS Parent Remote Learning Assurances

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Please complete the following form as you, the Parent/Legal Guardian of a student(s) in our district, agree to the assurances required when your student is in a remote learning environment. Completing this form will serve as your electronic signature.

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First Name of Parent/Legal Guardian *

Last Name of Parent/Legal Guardian *

First and Last Name of Student 1 *

First and Last Name of Student 2

First and Last Name of Student 3

First and Last Name of Student 4

First and Last Name of Student 5

First and Last Name of Student 6

First and Last Name of Student 7

First and Last Name of Student 8

By checking each box below, you have read, understand, and agree to the following assurances. *

Please mark each assurance.

I understand that my child(ren) may need additional support to complete assigned work, and to the best of our ability, our family will provide the needed support. Additionally, our family will provide supervision during the learning process.

I agree that my child(ren) are expected to be available to communicate with teaching staff on a regular basis as outlined by the school district.

If a student is unable to participate on any given day (illness or doctor appointment), I will notify the school.

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