K-12 Request to Change Remote/Hybrid Learning

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The window to request a change in your child's instructional delivery model is now open. In order to maintain a safe environment for students and staff, and create the least amount of disruption to teaching and learning, we ask that this selection remains in effect from January 25 through the remainder of the 2020-21 school year. We understand that there may be unforeseeable circumstances, which may require flexibility. In such cases, we ask you to contact your child’s building principal. REQUESTS ARE DUE NO LATER THAN THURSDAY, JANUARY 14.

Email *

Parent Email Address *

Student Name (please complete one form per student) *

Building *

Duzine Elementary School

Lenape Elementary School

New Paltz Middle School

New Paltz High School

Required

Grade Level (select from drop-down menu) *

In which learning model is your child currently enrolled? *

Remote

Hybrid/In-Person

Which learning model do you wish to enroll your child in after January 22? *

Remote

Hybrid/In-Person

I understand that my child is required to stay in the learning model I select through the remainder of the school year. Please initial on line below. *

Please provide reason for requested change. *

Parent/Guardian Name *

Phone Number *

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