Virtual Academy Student Contract

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Please complete the following contract for your virtual student for the 2021-2022 school year. If you have more than one student, please complete the form for each student.

Student First Name *

Student Last Name *

Grade *

Kindergarten

1st Grade

2nd Grade

3rd Grade

4th Grade

5th Grade

6th Grade

7th Grade

8th Grade

9th Grade (Freshman)

10th Grade (Sophomore)

11th Grade (Junior)

12th Grade (Senior)

School *

Magoffin County High School

Herald Whitaker Middle School

North Magoffin Elementary

Salyersville Grade School

South Magoffin Elementary

Parent/Guardian Name *

Phone Number *

Do you want to pick up a weekly meal box? *

Yes

Please check each of the boxes below to indicate that you understand and agree with each statement. If you have questions, please call (606) 349-6117. *

I understand that enrollment in the virtual academy must be for at least one semester (until December 17, 2021).

I understand and agree to invest the time necessary for successful completion of all courses.

I understand that I must sign the Acceptable Use Policy (AUP) governing the use of district technology. I agree to abide by the rules and provisions of that policy.

I understand that I will need to communicate regularly with school district staff while my student is participating as a virtual student.

I understand that virtual students are NOT allowed to participate in any extra-curricular activities.

I understand that virtual students must be present at their school for any state required assessments. I agree to send my student to school for testing.

Required

Electronic Signature -- Please type your name below acknowledging that you, as the parent/guardian, understand and commit to all conditions within this virtual student contract. *

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