Opting into all-remote learning for 2021

JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.

PS 58 Families in the hybrid program who wish to transition their child from in-person to all-remote learning may do so at any time. Please fill out this survey as soon as you have made this decision. Complete a separate survey for each child.

If your child is remaining in the hybrid program, you do not need to submit this survey!

Thank you.

Email *

Child's First Name *

Child's Last Name *

Grade *

Pre-Kindergarten

Kindergarten

First Grade

Second Grade

Third Grade

Fourth Grade

Fifth Grade

I am choosing all-remote learning for my child. *

I would like my child to switch ASAP

I would like my child to switch on or around the date below

Date:

YYYY

Is your child in the French Dual Language Program? *

Yes

Is your child receiving ICT (Integrated Co-Teaching Services) ? *

Yes

Does your child receive any other mandated services? (i.e., SETSS, OT, PT, Counseling *

Yes

Required

Full Name of Parent *

Submit

Clear form

Never submit passwords through Google Forms.

This form was created inside of PS 58, The Carroll School. Report Abuse

Forms