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Planning Form for 2020-2021 School Year
Due to medical issues, if you have concerns about your son/daughter returning to the physical school building during the 2020-2021 school year, please complete the following information.
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* Indicates required question
Student's Full Name
*
Your answer
Parent(s)/Guardian(s) Name
*
Your answer
Best Contact Phone Number
*
Your answer
School for 2020-2021 School Year
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Elkin Elementary School
Elkin Middle School
Elkin High School
Grade Level for 2020-2021 School Year
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K
1
2
3
4
5
6
7
8
9
10
11
12
Please describe any medical conditions your child may have and how this may affect their return to the physical school building in the Fall of the 2020-2021 school year. (Note: We will need medical documentation before your child can be placed on homebound services.)
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Your answer
Would you be interested in your child receiving homebound services? Homebound services are determined on an individual basis. However, the typical model is your child working some independently throughout the school week with a teacher visiting your child during the week to work on assignments.
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Yes
No
Does your child have:
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An IEP
504 Plan
Neither
Any additional information/concerns you would like to express.
Your answer
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