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Virtual Instruction Change Form for 4th 6 weeks of school 20-21
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* Indicates required question
Email
*
Your email
First name, Last Name
*
Your answer
Phone number
*
Your answer
Student First Name, Last Name
*
Your answer
Grade Level
*
Kinder
1st
2nd
3rd
4th
5th
6th
7th
8th
9th
10th
11th
12th
I am requesting that my student be changed from Virtual Instruction to In-Person Instruction at the beginning of the 4th 6 Weeks of school.
*
YES
NO
Required
I am requesting that my student be changed from in-person instruction to virtual instruction at the begining of the 4th 6 Weeks of school. I also understand that by requesting this that I will not be able to change this until the beginning of the the 5th 6 weeks of school.
*
YES
NO
Required
I am requesting that my student or students continue virtual instruction for another 6 weeks of school, and understand this may not be changed until the 5th 6 weeks of school.
*
YES
NO
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