ONLY Complete this form if you want to RETURN to the traditional, face-to-face BUILDING for second semester.
A separate form must be completed by 5 pm on December 18, 2020 for each child to RETURN to the traditional, face-to-face building .
You must complete a separate Opt-Out form for each student . The Opt-Out form must be submitted on or before December 18, 2020, by 5:00 PM. Once you have submitted the Opt-Out form, your child will be re-enrolled into the traditional, face-to-face building. Classes will begin on January 26, 2021.
What is the intent for your child?
I want my child to attend traditional, face-to-face school, and I understand that my child will remain in traditional school until the end of the second semester.
Clear Fork Elementary
Coal City Elementary
Marsh Fork Elementary
Maxwell Hill Elementary
Shady Spring Elementary
Shady Spring High
Shady Spring Middle
Trap Hill Middle
Woodrow Wilson High
Child's Last Name
Child's First Name
Child's Middle Name
Parent/Guardian's Email. (Please use a working email for receipt of completed forms)
Parent/Guardian's Home Phone
Parent/Guardian's Work Phone
Parent/Guardian’s Email Address (if available, and if you want to receive progress reports that may be available from the course provider):
This agreement, agreements ancillary to this agreement, and related documents entered into in connection with this agreement are signed when a party’s signature is delivered by email or other electronic medium. These signatures must be treated in all respects as having the same force and effect as original signatures.
Signature- To sign, use your finger, mouse, or stylus in the box.
Please verify that you are human
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