Child to begin Hybrid In-Person Instruction (This form is for students who were NOT enrolled in hybrid in-person instruction during the first semester.)

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Please fill out this form if you wish for your remote-only child to begin hybrid in-person instruction.
Cohort A will begin on January 19, 2021.
Cohort B will begin on January 25, 2021.

*The‌ ‌Elementary‌ ‌School‌ ‌Main‌ ‌office‌ ‌will‌ ‌contact‌ ‌you‌ ‌to‌ ‌confirm‌ ‌cohort‌ ‌and‌ ‌transportation‌ ‌information.‌

DO NOT FILL THIS FORM OUT IF YOUR CHILD WILL CONTINUE TO BE REMOTE ONLY.

Email *

Student Last Name: *

Student First Name: *

Grade Level *

Kindergarten

First

Second

Third

Fourth

Fifth

Sixth

Parent/Guardian Name:

Parent/Guardian Phone Number:

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