100% WHS Distance Learning Opt-in form request

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This form is to request the distance learning opt-in application. Once it is provided to the school, the application will be emailed to the address you provide below. Per DOE guidance, please keep in mind that the application must be approved by their Counselor, the Principal, and the Complex Area Superintendent, before your child is enrolled in distance learning. Due to High Application rates, this process may extend beyond the Aug. 4th start date.

Email *

Student Last Name *

Student First Name *

Grade *

Parent/Guardian Name *

Parent/Guardian Phone Number *

Does your child have access to internet connectivity? *

Yes

Does your child have access to a computer? *

Yes

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