Remote Day Study Hall Sign-up
Students can reserve a seat for Remote Day Study Hall in order to attend PCHS on their assigned at-home day, receive assistance on mapping out their plan to complete work and have a quiet environment to work from 7:50-11:11.  Students may ride the bus to school in the morning as usual, eat free breakfast, and receive a bus ride home if needed.  Students may also indicate they would like a sack lunch to take home each day.  Seats are limited each day, students will receive a seat on a first come, first serve basis.

Sign in to Google to save your progress. Learn more
Student Last Name *
Student First Name *
White Day Schedule Student Options
Clear selection
Red Day Schedule Student Options
Clear selection
Does your student need bus transportation home at 11:11?   *
If yes, then please list your student's home address for bus transportation.
The expectations for this intervention is to be the G200 study hall room from 7:50am - 11:11am and be engaged in classwork for the duration of the period.  Students will receive restroom breaks during each passing period.  Students must leave through the Principal's Office Entrance immediately upon release.   Student or Parent Signature Required below for entry.   *
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of Pekin Community High School. Report Abuse