Request for Remote Learning
If you need to request eLearning for a child due to isolation or  quarantine, please complete the form. This is for a temporary remote learning only.  All other requests will be done when we move to the next phase. If a student is not attending in person for any other reason, then parents/guardians must notify the attendance clerk at hsattendance@blindbrook.org.  

Sign in to Google to save your progress. Learn more
Email *
Student First Name *
Student Last Name *
Grade Level *
School Counselor *
Reason for remote learning *
Date to start *
MM
/
DD
/
YYYY
Date to return (minimum of three days from start date) *
MM
/
DD
/
YYYY
A copy of your responses will be emailed to the address you provided.
Submit
Clear form
Never submit passwords through Google Forms.
reCAPTCHA
This form was created inside of Blind Brook - Rye Union Free School District. Report Abuse