Editing previous response:

Please fix the highlighted areas below before submitting.

Hybrid/All-Remote Transition Request Form - WHS

Please complete the form below. Required fields marked with an asterisk *

The deadline to request to transition your child from remote learning to hybrid, in-person instruction has passed. Any future requests must be approved by your child’s assistant principal; please reach out directly to him/her. Parents who need to move their child to remote learning should complete this form to make that request. Please note that any change to remote learning will be in effect through the end of the school year.

STUDENT LAST NAME*

Answer Required

STUDENT FIRST NAME*

Answer Required

NAME OF PARENT COMPLETING FORM*

Answer Required

EMAIL ADDRESS OF PARENT COMPLETING FORM*

Answer Required

GRADE*

Answer Required

Grade 9

Grade 10

Grade 11

Grade 12

I WISH TO:*

Answer Required

Transition my child from hybrid to all-remote learning. (SEE CONDITIONS ABOVE & LIST REASON(S) FOR DECISION TO MOVE TO ALL-REMOTE BELOW.)

Reason(s) for decision to move to all remote learning:

Answer Required

IMPORTANT: If you are requesting to transfer your child to remote learning due to possible COVID-19 symptoms or exposure, you must contact your school health office for further guidance.

Confirmation Email

Enter your email address here if you'd like to receive a confirmation upon submitting the form.

Email Required