Distance Learning Opt-In Form

Distance Learning Opt-In Form
I request my child to join in the Distance Learning for the whole school year of 2020-2021.
Student's Name
First NameLast Name
Grade Level
Student's Email
example@example.com
Student's Address
Street Address
Street Address Line 2
CityState / Province
Postal / Zip Code
Parent/Guardian Name
First NameLast Name
Primary Phone Number
Please enter a valid phone number.
Secondary Phone Number
Please enter a valid phone number.
Acknowledgment
I attended the orientation and I understand the following:
- I confirm that I will follow the course outline for my child.
- I understand that I will make sure we have all types of equipment for distance learning is available.
- I confirm that I will assist my child during classes if needed.
- I understand that homework and tests need to be completed by the student with no coaching from the parent/guardian.
- I understand that all tests, activities, and homework are graded accordingly.
- I will cooperate with the teacher regarding what he/she needs for distance learning to be successful.
- I understand that the environment for distance learning is different from going to a physical school.
Date Signed
MonthDayYear
Date
Parent/Guardian Signature
Clear
Should be Empty: