Please fill out one form for each child that you are choosing remote for.

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* 1. Student's Last Name 

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* 2. Student's First Name

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* 3. Which school will your child will be attending in September 2020?

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* 4. Which grade will your child be entering in September 2020?

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* 5. Does your child have an IEP?

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* 6. By typing your name (Parent Name), I understand that my child will remain in a full-time remote learning environment until at least October 19, 2020.  If requested by October 2, 2020, to building principal, your child will be able to transition to in-person learning starting on October 19, 2020.

(Type Parent Name below to acknowledge).  Thank you in advance.

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