Families Choosing Virtual Learning in 2020-2021

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* 1. Student(s) Name (fill multiple names if necessary)

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* 2. Student Grade Level (2020-2021)(Check all that apply)

K

1

2

3

4

5

6

7

8

9

10

11

12

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* 3. Reasons why you are NOT planning to send your student back to school face-to-face in 2020-2021?

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* 4. Additional comments if desired