Remote Learning Registration
Please fill out this form to enroll your student in remote learning.
Sign in to Google to save your progress. Learn more
Student Name: *
Grade (2020-2021) *
Parent Name: *
Parent Contact Number: (Cell Phone) *
Parent Contact Numer: (Work Phone
Do you have a (personal) device to participate in remote learning? *
If yes, what device do you have?
Please acknowledge the following statements: *
Required
Signature- By signing my name to this form I am stating that I understand that my student is going to enroll in remote learning. *
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of Lockney ISD. Report Abuse