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Switch to Virtual Instruction Model March 2021
This form will close at 8:00 pm on Monday February 15th. Changes will take effect on March 1, 2021
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Last Name of Student
*
Your answer
First Name of Student
*
Your answer
Grade Level
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K
1
2
3
4
5
By completing this form I understand that I am requesting the student be moved from hybrid instruction (in-person) to virtual (at home). They will be moved to a virtual homeroom and all instruction will occur from home for the rest of the year.
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No
Parent/Guardian Completing this form.
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